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Exam 3 - Ch. 8, 9, 10, 11, 12, 13 Exam Question And Answers 2025
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A community health nursing student is preparing a presentation about injuries related to motor vehicle crashes (MVCs). What is the best source for data regarding MVCs? - correct answers ✅Department of Transportation - The Department of Transportation (DOT) monitors MVCs and is the best place for the student to obtain data regarding MVCs. A patient was just admitted to the emergency department for an overdose. Which medication is the nurse most likely to find in the patient's pocket? - correct answers ✅Percocet - The nurse is most likely to find Percocet, a prescription painkiller. Prescription painkillers are the drugs most commonly involved in an overdose. The nurse plans to utilize an evidence-based intervention to address binge drinking. Which intervention uses the Harm Reduction Model? - correct answers ✅Brief Alcohol Screening and Intervention for College Students (BASICS) - The Brief Alcohol Screening and Intervention for College Students (BASICS) is a harm reduction approach to reduce binge drinking among college students. Which of the following disorders is a public health priority because it is the leading cause of disability among those ages 15 to 44 years? - correct answers ✅Major depressive disorder - Major depressive disorder is the leading cause of disability among those ages 15 to 44 years.
There has been a significant increase in drive-by shootings and assaults in the community due to gang actions. The nurse recognizes this as what type of violence? - correct answers ✅Collective - Violence that occurs when a large group of people engage in violent behavior is collective violence. Gang violence is an example of collective violence. After becoming a registered nurse, Denise wants to live and work in Trinidad, her native country. She feels her options and working conditions would be better in the United States. What is the best way for lower-income countries (LICs) to retain nurses like Denise? - correct answers ✅Teach nurses best practices with limited resources - LICs may be able to retain skilled nurses by teaching students the best nursing practices with limited resources. Many doctors and nurses from LICs leave and go to other countries for better pay and better work conditions. According to Healthy People 2020, which of the following communicable diseases are targeted for elimination through vaccination? - correct answers ✅Congenital rubella syndrome, Hepatitis B, Acute paralytic poliomyelitis - The four communicable diseases targeted for elimination through vaccination are congenital rubella syndrome, rubella, hepatitis B, and acute paralytic poliomyelitis.
The nurse knows optimal mental health of communities depends on which of the following? - correct answers ✅An environment that supports a strong social network - Optimal mental health of a community depends on the provision of an environment that encourages a strong social network and a safe place to work and live. The public health nurse is speaking at a college campus on the topic of acquaintance violence. Which is an example of acquaintance violence?
appointment with the smoking cessation counselor. - The nurse's next action is to provide the appropriate tobacco dependence treatment by scheduling an appointment with the smoking cessation counselor. Every year, diarrheal disease is a leading cause of death among children younger than 5 years of age. Which would significantly reduce the incidence of diarrheal disease? - correct answers ✅Safe drinking water - Safe drinking water and efficient sanitation significantly reduce the incidence of diarrheal disease. A Ugandan man is speaking with a nurse about how his wife died shortly after child birth. What statements made by his wife indicate her death was preventable? - correct answers ✅Feedback 1: Answer 1 is correct. Many pregnant women do not seek treatment due to the "three delays" - delays in seeking care, delays in arriving at the healthcare center, and delays in adequate care once at the health center. Delaying care due to finances may have contributed to the woman's death. Feedback 2: Answer 2 is incorrect. An active fetus is a sign of a healthy pregnancy. Feedback 3: Answer 3 is correct. The woman experienced a delay in arriving at the health center because she had to walk 10 miles to get
The nurse teaches community health nursing students about the evolution of tobacco use in the United States. Key content includes: - correct answers ✅Feedback 1: Answer 1 is correct. Tobacco use increased approximately 300% from 1934-1945. Feedback 2: Answer 2 is incorrect. The Fair Trade Act of 1949 provided free and equal time to antismoking initiatives as was purchased by the cigarette industry and is associated with decreased tobacco use. Feedback 3: Answer 3 is correct. Cigarette consumption has consistently declined since the first Surgeon General's Report on Smoking and Health was released. Feedback 4: Answer 4 is correct. The FDA controls the development of a safer cigarette. Feedback 5: Answer 5 is correct. Cigarette consumption dropped in the mid-1950s, when the first evidence of the association between cigarette smoking and cancer was found. The nurse recognizes which of the following clients as most likely to be diagnosed with posttraumatic stress disorder (PTSD)? - correct answers ✅A 60-year-old Aleut man - Aleuts are Alaskan Natives.
American Indians/Alaskan Natives have a higher rate of lifetime PTSD than others in the U.S. population. A 26-year-old man presents to the ER with the following symptoms: bilateral ulcers on his lower extremities, a temperature of 103.2°F, anorexia, and a 20% weight loss in the last month. An ER nurse determines what is wrong when the man answers yes to which question? - correct answers ✅"Did you fight in Iraq?" - The man's symptoms indicate he may have leishmaniasis, a parasitic disease spread by sand flies. Symptoms include skin ulcers, loss of appetite, severe weight loss, and high fever. Many cases have been reported by soldiers returning from Iraq and Afghanistan. Results of a 2-year study on motor vehicle crashes (MVCs) in Smithville indicate injuries can be reduced by addressing environmental risk factors. What is the best recommendation made by the public heath nurse? - correct answers ✅Reduce the speed limit during hazardous driving conditions - Hazardous driving conditions, such as icy roads, represent an environmental risk factor that plays a role in MVCs. Which action demonstrates the nurse's understanding of providing culturally competent care in the era of globalization? - correct answers ✅Learn about healthcare delivery systems from lower-income countries (LICs) - Providing culturally competent care in a global era requires an understanding of other countries' healthcare delivery
incidence rate of chlamydia was 426 per 100,000. The rate in women was double the rate in men. The nurse is teaching a small group of pregnant adolescents who have substance use disorders. What is this group at highest risk for? - correct answers ✅Chlamydia - Pregnant adolescents with substance use disorders have a higher risk for chlamydia. A woman is brought to the emergency department with a fractured nose and facial contusions. She tells the nurse, "My husband did this to me." What is the nurse's best response? - correct answers ✅"Do you have a safe place to stay tonight?" - The patient's safety is the highest priority. The nurse must assess whether the woman has a safe place to go. Nurses at Community North Hospital are alarmed when there is a sudden and dramatic increase in the incidence of heat stroke among toddlers left in hot cars. The nurses' best action to prevent further occurrences is to - correct answers ✅Mandate a "Look Before You Lock" class before discharge. - Mandating a "Look Before You Lock" class before discharge is the best action since it is a prevention strategy. Health education is provided for parents of newborns about risks of leaving children in hot cars.
The nurse is counseling a client about the risk for heart disease. Which statement indicates the need for further teaching? - correct answers ✅"My weight doesn't matter if I exercise and eat better." - The client needs further teaching. Overweight and obesity are modifiable risk factors that reduce risk for heart disease. Under President Obama, the focus of the Office of National Drug Control Policy (ONDCP) has shifted focus in what way? - correct answers ✅Reduced criminal penalties for those who are not engaged in criminal activity related to the production, transportation, or distribution of marijuana - Under President Obama, the ONDCP has shifted its focus to upstream and midstream approaches, which includes reduced criminal penalties for those who are not engaged in criminal activity related to the production, transportation, or distribution of marijuana. Community leaders in Camden, New Jersey are implementing a violence prevention program focused on developing positive relationships between youth and adults. The nurse knows the best intervention is to: - correct answers ✅Establish a mentoring program. - A mentoring program meets the objective of decreasing violence. It provides youth with adult role models and focuses on positive relationships between youths and adults.
Feedback 5: Answer 5 is incorrect. Children should always swim under the supervision of a lifeguard. It is critical for the public health nurse to understand characteristics of infectious agents and the cycle of transmision. Characteristics of infectious agents include? - correct answers ✅Feedback 1: Answer 1 is incorrect. Specificity is not a characteristic of infectious agents. Feedback 2: Answer 2 is correct. Pathogenicity is the capacity of an agent to cause disease in the human host. Feedback 3: Answer 3 is correct. Infectivity is the capacity of an agent to enter and multiply in the host. Feedback 4: Answer 4 is incorrect. Communicability refers to disease transmission. Feedback 5: Answer 5 is correct. Virulence is the ability of a pathogen to cause disease. A community health nursing student who recently completed a mental health clinical experience is volunteering at a behavioral health clinic.
The student recognizes which people are at increased risk for suicide? - correct answers ✅Feedback 1: Answer 1 is correct. The woman has MDD, a diagnosable mental health disorder, which increases her risk for suicide. Over 90% of people who die by suicide have a diagnosable mental health disorder at the time of death. Feedback 2: Answer 2 is correct. The man's wife died in a car accident only one week ago. Those who have experienced a crisis in the preceding two weeks are at increased risk for suicide. Feedback 3: Answer 3 is incorrect. People with physical health problems are at increased risk for suicide. The man has no indication of current health problems and he has been cancer free for 10 years. Feedback 4: Answer 4 is incorrect. The man is receiving treatment for schizophrenia, reducing his risk for suicide. Over 90% of people who die by suicide have a diagnosable mental health disorder at the time of death, yet only 33.8% are receiving treatment. Feedback 5: Answer 5 is correct. Intimate partner violence is a significant risk factor for suicide. The woman is at increased risk because she is being abused by her partner.
A parent tells the clinic nurse he does not want his child to get chickenpox. The nurse counsels the parent his child should receive the varicella vaccine because this will enable the child to develop - correct answers ✅Passive immunity. - vaccination is one form of passive immunity. Passive immunity develops when the immune system is stimulated to produce antibodies when a synthetic or weakened version of an agent is injected. The varicella vaccine is a weakened form of the varicella virus. The nurse is reviewing a client's health history. When asked about smoking, the client states, "I smoke 1½ packs a day." What is the nurse's best response? - correct answers ✅"How ready to quit do you think you are?" - The client is a current tobacco user; therefore, the nurse's next step is to determine whether he is ready to quit. Which of the following is among the population with the higher prevalence of HIV and AIDS? - correct answers ✅A 27-year-old Puerto Rican male - The prevalence of HIV and AIDS is higher among males ages 5 to 44 years. During a community health fair, the public health nurse is educating a woman about unintentional poisonings in children. Which statement indicates the need for further teaching? - correct answers ✅"I keep toilet bowl cleaner under the bathroom sink." - This statement indicates the need for further teaching. Keeping household cleaners
under the bathroom sink places a child at high risk for unintentional poisoning as it allows a child easy access to poisonous substances. The community health nurse recognizes the primary significance of the term serious mental illness (SMI) is that it: - correct answers ✅Implies eligibility for specific kinds of support services. - The primary significance of the term serious mental illness (SMI) is that it implies eligibility for specific kinds of support services. SMI refers to a diagnosable mental disorder that severely disrupts a person's ability to function socially, obtain and maintain employment, to have adequate financial resources, and to access/maintain family supports. According to the Consortium of Universities, the term global health is defined as an area for study, research, and practice that places a priority on improving health and: - correct answers ✅Achieving equity in health for all people worldwide. - According to the Consortium of Universities, the definition of global health includes a priority on achieving equity in health for all people worldwide. During a 2-week volunteer trip to Costa Rica, a nurse is helping build an all-girls school. Which Millennium Development Goals (MDG) is the nurse working to achieve? - correct answers ✅Promoting gender equality and empowering women; achieving universal primary education - Building an all-girls school promotes gender equality, empowers women, and helps achieve universal primary education.
Feedback 5: Answer 5 is correct. The letters in the RADAR screening tool refer to actions to screen for intimate partner violence. The second R indicates the screener must Review the patient's options and provide referrals. The clinic nurse is talking with a client who was recently diagnosed with bipolar disorder. Which statement indicates the client may not return? - correct answers ✅"My friends can't know I come here." - This statement indicates the client may not return due to the stigma related to mental disorders. The client is concerned about rejection by friends. The occupational health nurse is assessing an employee who reports feeling stressed by his job and financial responsibilities. Which statement indicates he may be at risk for suicide? - correct answers ✅"It's hopeless. I just want to take my bottle of Percocet." - This statement indicates the man is at high risk for suicide. He reported feelings of hopelessness, a desire to harm himself, and he has the means to do so. The nurse recognizes that the ability of a disease to produce antibodies in the human host is called: - correct answers ✅Antigenicity. - Antigenicity is the ability of a pathogen to produce antibodies in the human host.
Following a mental health screening at the local middle school, the nurse observes most results were negative, indicating no follow-up was needed. What is the most likely reason for the results? - correct answers ✅Students participate in a school activity of their choice. - The middle school community demonstrates resilience. Screening results suggest fewer mental disorders exist among this population. Each student selects and participates in an activity. Autonomy and a sense of connectedness increase resilience. The nurse is conducting a screening for mental disorders. Which statement indicates a need for follow up? - correct answers ✅"I have trouble getting up most mornings and am late for work a lot." - This statement indicates a need for further evaluation. Sleep disturbances are a symptom of major depressive disorder, and the client's functioning at work is disrupted. The nurse is assessing clients at the homeless shelter. The nurse recognizes the following have risk factors for mental illness: - correct answers ✅Feedback 1: Answer 1 is correct. Family history of mental illness is a risk factor for mental illness. Suicide indicates the client's mother had a serious mental disorder. Feedback 2: Answer 2 is correct. Living with a chronic medical condition is a risk factor for mental illness.