Question 1

A nurse is caring for a client who has a medical home. Which of the following best describes what is being used by the client?

Accepted Answer

A)  A building that houses multiple primary care providers and specialists. 
B)  A partnership between a community health nurse, a client, and a family. 
C)  A system that meets the needs of the individual, family, and community. 
D)  A collaboration of care provided by an interprofessional team. 
A)  A building that houses multiple primary care providers and specialists. 
B)  A partnership between a community health nurse, a client, and a family. 
C)  A system that meets the needs of the individual, family, and community. 
D)  A collaboration of care provided by an interprofessional team. D

Question 2

A nurse is providing a health education program for the community about prevention of lead poisoning. Which of the following information would the nurse most likely include in the program?

Accepted Answer

A)  Universal screening for all children ages 1 and 2 years is recommended. 
B)  Lead poisoning can lead to serious respiratory system complication. 
C)  The most common exposure to lead occurs when children play with imported toys. 
D)  Lead-based paints are found in all homes built before 1987. 
A)  Universal screening for all children ages 1 and 2 years is recommended. 
B)  Lead poisoning can lead to serious respiratory system complication. 
C)  The most common exposure to lead occurs when children play with imported toys. 
D)  Lead-based paints are found in all homes built before 1987. A

Question 3

A nurse is aware that there is a rising incidence of abusive head trauma (AHT). Which of the following would be a focus of the nurse?

Accepted Answer

A)  Taking at-risk babies out of violent households 
B)  Placing babies under the care of community health nurses 
C)  Educating and providing support to new parents 
D)  Helping those affected seek proper legal representation 
A)  Taking at-risk babies out of violent households 
B)  Placing babies under the care of community health nurses 
C)  Educating and providing support to new parents 
D)  Helping those affected seek proper legal representation C

Question 4

A nurse is actively participating in efforts to reduce gun violence among young people. Which of the following actions is most likely being taken by the nurse?

Accepted Answer

A)  Identifying populations at risk for violence 
B)  Passing legislation to support gun control 
C)  Searching lockers at school looking for weapons and contraband 
D)  Caring for clients who have sustained gunshot wounds 
A)  Identifying populations at risk for violence 
B)  Passing legislation to support gun control 
C)  Searching lockers at school looking for weapons and contraband 
D)  Caring for clients who have sustained gunshot wounds

Question 5

A nurse is counseling a family about the management of childhood obesity. Which of the following recommendations should be made by the nurse? (Select all that apply.)

Accepted Answer

A)  Set goals related to having a healthier lifestyle, not dieting. 
B)  Have low-calorie, nutritious snacks available and ready. 
C)  Allow snacking in front of the TV for short periods of time. 
D)  Decrease computer time and replace it with activities and chores. 
E)  Invest in a gym membership at a local facility. 
A)  Set goals related to having a healthier lifestyle, not dieting. 
B)  Have low-calorie, nutritious snacks available and ready. 
C)  Allow snacking in front of the TV for short periods of time. 
D)  Decrease computer time and replace it with activities and chores. 
E)  Invest in a gym membership at a local facility.

Question 6

A nurse assesses the playground safety at a new community center and notices rope swings and a trampoline. Which of the following actions should be taken by the nurse?

Accepted Answer

A)  Have signs posted encouraging children to be monitored continuously. 
B)  Explain to the staff that these items are not recommended for playgrounds. 
C)  Supervise the children closely when they are using this equipment. 
D)  Compose a letter to be shared at the next city council meeting. 
A)  Have signs posted encouraging children to be monitored continuously. 
B)  Explain to the staff that these items are not recommended for playgrounds. 
C)  Supervise the children closely when they are using this equipment. 
D)  Compose a letter to be shared at the next city council meeting.

Question 7

A nurse is working with a child who lives in poverty. Which of the following best describes this child?

Accepted Answer

A)  A child who has poor academic performance 
B)  A child whose parents have a college education 
C)  A child of Caucasian descent 
D)  A child living in a single-parent household 
A)  A child who has poor academic performance 
B)  A child whose parents have a college education 
C)  A child of Caucasian descent 
D)  A child living in a single-parent household

Question 8

A family with children has income too high to qualify for state health insurance but does not have enough money to purchase private health insurance. Which program would a nurse refer this family to for the children to receive health care coverage?

Accepted Answer

A)  Medicare 
B)  Children's Health Insurance Plan (CHIP) 
C)  Medicaid 
D)  Social Security 
A)  Medicare 
B)  Children's Health Insurance Plan (CHIP) 
C)  Medicaid 
D)  Social Security

Question 9

What group has the lowest injury death rate?

Accepted Answer

A)  Infants 
B)  Toddlers and preschoolers 
C)  School-age children 
D)  Adolescents 
A)  Infants 
B)  Toddlers and preschoolers 
C)  School-age children 
D)  Adolescents

Question 10

What is the leading cause of death for unintentional injuries among children and teenagers?

Accepted Answer

A)  Drowning 
B)  Motor vehicle accidents 
C)  Burns 
D)  Poisonings 
A)  Drowning 
B)  Motor vehicle accidents 
C)  Burns 
D)  Poisonings

Question 11

A nurse is assessing a child with chronic health problems and the child's family. Which of the following factors should be considered?

Accepted Answer

A)  The ability of the family to pay for expensive equipment 
B)  The degree of impairment to the child's ability to develop 
C)  How often recreational activities will take place 
D)  Special needs "camp" placement for the child in the summer 
A)  The ability of the family to pay for expensive equipment 
B)  The degree of impairment to the child's ability to develop 
C)  How often recreational activities will take place 
D)  Special needs "camp" placement for the child in the summer

Question 12

A nurse is educating parents about sports safety. Which of the following information would be included in the education? (Select all that apply.)

Accepted Answer

A)  Grouping children according to weight, size, and skill level 
B)  Providing adequate supervision by competent teenagers if adults are not available 
C)  Using appropriate-size equipment 
D)  Encouraging attendance at events by medical personnel 
E)  Having an automated external defibrillator (AE
D)  onsite 
A)  Grouping children according to weight, size, and skill level 
B)  Providing adequate supervision by competent teenagers if adults are not available 
C)  Using appropriate-size equipment 
D)  Encouraging attendance at events by medical personnel 
E)  Having an automated external defibrillator (AE
D)  onsite

Question 13

A nurse is caring for a preschool-aged child who has been exposed to environmental tobacco smoke (ETS) on a regular basis. Which of the following is the child at greater risk for because of this exposure?

Accepted Answer

A)  Middle ear infections 
B)  Sudden Infant Death Syndrome (SIDS) 
C)  Living in poverty 
D)  Behavioral disturbances 
A)  Middle ear infections 
B)  Sudden Infant Death Syndrome (SIDS) 
C)  Living in poverty 
D)  Behavioral disturbances

Question 14

A mother tells the nurse she is afraid to have her infant immunized. Which of the following statements would be the most appropriate response by the nurse?

Accepted Answer

A)  "It is normal to be concerned, as some immunizations have been linked to autism." 
B)  "Researching the Internet will provide you more information as to the importance of immunizations." 
C)  "Choosing not to vaccinate your child puts your child and others at risk." 
D)  "Your infant received active immunity at birth, so immunizations are not indicated until 4 months of age." 
A)  "It is normal to be concerned, as some immunizations have been linked to autism." 
B)  "Researching the Internet will provide you more information as to the importance of immunizations." 
C)  "Choosing not to vaccinate your child puts your child and others at risk." 
D)  "Your infant received active immunity at birth, so immunizations are not indicated until 4 months of age."

Question 15

Which statement about sudden infant death syndrome (SIDS) is true?

Accepted Answer

A)  SIDS occurs most often in female infants. 
B)  Maternal cigarette smoking increases risk. 
C)  Most deaths occur between 2 and 8 months of age. 
D)  Most victims had a previous episode of cyanosis or apnea. 
A)  SIDS occurs most often in female infants. 
B)  Maternal cigarette smoking increases risk. 
C)  Most deaths occur between 2 and 8 months of age. 
D)  Most victims had a previous episode of cyanosis or apnea.

Question 16

A community health nurse is working with adolescents. Which of the following characteristics would most likely be displayed by an adolescent who is at increased risk to engage in risk-taking behavior?

Accepted Answer

A)  Poor academic performance 
B)  High self-esteem 
C)  Middle-class income 
D)  Involvement in extracurricular activities 
A)  Poor academic performance 
B)  High self-esteem 
C)  Middle-class income 
D)  Involvement in extracurricular activities

Question 17

A nurse is conducting a developmental screening to assess for domain-specific development, including gross and fine motor skills. Which developmental screening tool would the nurse most likely use?

Accepted Answer

A)  Pediatric Symptom Checklist 
B)  Ages and Stages Questionnaire 
C)  Parents' Evaluation of Developmental Status 
D)  Denver II 
A)  Pediatric Symptom Checklist 
B)  Ages and Stages Questionnaire 
C)  Parents' Evaluation of Developmental Status 
D)  Denver II

Question 18

Which statement is true about the role of nurses in community health?

Accepted Answer

A)  The nurse provides direct services to children and their families. 
B)  A major role of community health nurse is the provision of immunizations. 
C)  Children are not the primary focus of community health, since they are often acutely ill. 
D)  Complementary therapies and environmental toxins are often the focus of the health care of children. 
A)  The nurse provides direct services to children and their families. 
B)  A major role of community health nurse is the provision of immunizations. 
C)  Children are not the primary focus of community health, since they are often acutely ill. 
D)  Complementary therapies and environmental toxins are often the focus of the health care of children.

Question 19

A nurse is using motivational interviewing when communicating with a family about improving their eating habits. Which of the following questions would the nurse most likely ask when using this technique?

Accepted Answer

A)  "Do you feel comfortable restricting foods your child eats?" 
B)  "Why do you choose unhealthy snacks?" 
C)  "What changes would you like to make to improve your diet?" 
D)  "Where do you do your grocery shopping?" 
A)  "Do you feel comfortable restricting foods your child eats?" 
B)  "Why do you choose unhealthy snacks?" 
C)  "What changes would you like to make to improve your diet?" 
D)  "Where do you do your grocery shopping?"

Question 20

A nurse is planning to administer an immunization to a child. Which of the following factors would be a medical contraindication for the administration of immunizations?

Accepted Answer

A)  Religious beliefs 
B)  Sore throat 
C)  Leukemia 
D)  Fear of side effects 
A)  Religious beliefs 
B)  Sore throat 
C)  Leukemia 
D)  Fear of side effects

Exam 28: Child and Adolescent Health

A nurse is caring for a client who has a medical home. Which of the following best describes what is being used by the client?

A nurse is providing a health education program for the community about prevention of lead poisoning. Which of the following information would the nurse most likely include in the program?

A nurse is aware that there is a rising incidence of abusive head trauma (AHT). Which of the following would be a focus of the nurse?

A nurse is actively participating in efforts to reduce gun violence among young people. Which of the following actions is most likely being taken by the nurse?

A nurse is counseling a family about the management of childhood obesity. Which of the following recommendations should be made by the nurse? (Select all that apply.)

A nurse assesses the playground safety at a new community center and notices rope swings and a trampoline. Which of the following actions should be taken by the nurse?

A nurse is working with a child who lives in poverty. Which of the following best describes this child?

A family with children has income too high to qualify for state health insurance but does not have enough money to purchase private health insurance. Which program would a nurse refer this family to for the children to receive health care coverage?

What group has the lowest injury death rate?

What is the leading cause of death for unintentional injuries among children and teenagers?

A nurse is assessing a child with chronic health problems and the child's family. Which of the following factors should be considered?

A nurse is educating parents about sports safety. Which of the following information would be included in the education? (Select all that apply.)

A nurse is caring for a preschool-aged child who has been exposed to environmental tobacco smoke (ETS) on a regular basis. Which of the following is the child at greater risk for because of this exposure?

A mother tells the nurse she is afraid to have her infant immunized. Which of the following statements would be the most appropriate response by the nurse?

Which statement about sudden infant death syndrome (SIDS) is true?

A community health nurse is working with adolescents. Which of the following characteristics would most likely be displayed by an adolescent who is at increased risk to engage in risk-taking behavior?

A nurse is conducting a developmental screening to assess for domain-specific development, including gross and fine motor skills. Which developmental screening tool would the nurse most likely use?

Which statement is true about the role of nurses in community health?

A nurse is using motivational interviewing when communicating with a family about improving their eating habits. Which of the following questions would the nurse most likely ask when using this technique?

A nurse is planning to administer an immunization to a child. Which of the following factors would be a medical contraindication for the administration of immunizations?

Public Health Foundations and Population Health

History of Public Health and Public and Community Health Nursing

Public Health, Primary Care, and Primary Health

Perspectives in Global Health Care

Economics of Health Care Delivery

Environmental Health

Application of Ethics in the Community

Achieving Cultural Competence in Community Health Nursing

Public Health Policy

Evidence-Based Practice

Population-Based Public Health Nursing Practice: the Intervention Wheel

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Promoting Healthy Communities

Community As Client: Assessment and Analysis

Building a Culture of Health to Influence Health Equity Within Communities

Health Education Principles Applied in Communities, Groups, Families, and Individuals for Healthy Change

The Nurse Managed Health Center: a Model for Public Health Nursing Practice

Public Health Nursing Practice and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Quality Management

Case Management

Working With Families in the Community for Healthy Outcomes

Family Health Risks

Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Disability Health Care Across the Lifespan

Vulnerability and Vulnerable Populations

Rural Health Issues

Poverty and Homelessness

Migrant Health Issues

Teen Pregnancy

Mental Health Issues

Alcohol, Tobacco and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

The Nurse in Public Health, Home Health, Hospice, and Palliative Care

The Nurse in the Schools

The Nurse in Occupational Health

Forensic Nursing in the Community

The Nurse in the Faith Community

Public Health Nursing at Local, State, and National Levels

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