Question 27
NSG460-462 Community Health. A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus. Which of the following information should the nurse include to describe the effect of communicability of a virus?
- The new mutation causes more severe disease.
- The new mutation can survive in the environment and retain infectivity.
- The new mutation spreads easier from one individual to another.
- The new mutation requires a larger amount of the virus to cause disease.
Question 28
A community health nurse is conducting an educational program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects? NSG460-462 Community Health
- Osteoarthritis
- Hypothyroidism
- Asthma
- Basal cell carcinoma
Question 29
A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?
- Wait until the type of equipment needed is known.
- Use a dosimeter to measure the level of radiation in the area before intervening.
- Choose the highest level of protection equipment available.
- Decontaminate victims before intervening.
Question 30
A public health nurse is discussing how to improve client outcomes with county legislators. Which of the following interventions should the nurse recommend to improve outcomes for clients impacted by the cycle of poverty?
- Eliminating the use of client portals or virtual visits.
- Opening a community health center in an underserved area.
- Implementing the Teach Back Method when prescribing medication.
- Replacing Medicare programs with Medigap policies.
Question 31
A nurse and a family have identified a problem that needs to be addressed. Which of the following should the nurse remember when determining interventions?
- Interventions should only consider the needs of the individual.
- Family members should be involved in the formulation of interventions.
- Interventions should be solely based on what the nurse and provider think is best.
- Interventions should be based on what the weaknesses of the family are.
Question 32
A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?
- Pneumocystis lung infection
- Fungal and bacterial infections
- Kaposi’s sarcoma
- Flu-like symptoms and night sweats
Question 33
A nurse is preparing to teach a client who has a low literacy level. Which of the following methods should the nurse plan to include?
- Emphasize four important points at each session.
- Have short teaching sessions.
- Refer to the client in the third person during the session.
- Use a passive voice to explain the information.
Question 34
A nurse working at a local pediatric clinic wants to help identify children who are at an increased risk of not receiving their well-child preventive care visits. Which of the following factors should the nurse consider when identifying a child who has decreased access to health care?
- The child lives in a suburb of a major metropolitan area.
- The child has state-funded health insurance.
- The child has private health insurance.
- The child lives in a low-income, densely populated neighborhood.
Question 35
A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?
- “Coughing and shortness of breath in the morning can be a sign that my asthma is well controlled.”
- “Even if I control my asthma well, I won’t be able to participate in sports or physical activities.”
- “If I don’t control my asthma I will miss fewer days of school.”
- “Eliminating allergens that irritate my lungs can help me avoid getting an asthma attack.”
Question 36
A public health nurse is working to identify vulnerable populations in the community. Which of the following statements most accurately describes the characteristics of vulnerable populations?
- Groups of people who live in areas of high exposure to environmental hazards.
- Groups of people who share similar average rates of illness and disability.
- Individuals who are more exposed to risk than their peers due to illness, disability, or barriers to obtaining resources.
- Groups of people who are at a higher risk for poor health due to illness, disability, or barriers to obtaining resources.
Question 37
A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention? NSG460-462 Community Health
- Referring a client who has had a mastectomy to a support group.
- Performing monthly breast self-examinations.
- Providing a community program on stress reduction.
- Teaching foot care to a client who has diabetes.
Question 38
A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
- “Use closed-ended questions when obtaining the health history.”
- “Ask about the client’s exposure to any past or present STIs.”
- “A client’s reproductive health history is not needed for counseling purposes.”
- “Refer the client to genetic counseling if he has had an STI.”
Question 39
A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
- Reporting laboratory findings to a member of the client’s family.
- Notifying the provider of physical examination findings.
- Discussing a client’s surgical procedure with the nurse manager.
- Identifying the client by name when making a referral for home health services.
Question 40
A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify that which of the following factors place populations at the highest risk for negative health outcomes?
- Genetics.
- Language barriers.
- Transportation access.
- Poverty.
