Question 1

Which problem is the highest priority for a family who has just moved to the United States and does not speak any English?

Accepted Answer

A)  Risk for acute confusion 
B)  Disturbed energy field balance 
C)  Impaired verbal communication 
D)  Readiness for enhanced decision making 
A)  Risk for acute confusion 
B)  Disturbed energy field balance 
C)  Impaired verbal communication 
D)  Readiness for enhanced decision making C

Question 2

Which communication methods will the community nurse use when interacting with recent immigrants who do not speak English?

Accepted Answer

A)  The nurse will obtain the assistance of a speech pathologist. 
B)  The nurse will speak in a louder tone of voice than usual. 
C)  The nurse will be sensitive to nonverbal communication cues. 
D)  The nurse will identify the preferred language for each family member. 
E)  The nurse will utilize an interpreter when explaining health care procedures. 
A)  The nurse will obtain the assistance of a speech pathologist. 
B)  The nurse will speak in a louder tone of voice than usual. 
C)  The nurse will be sensitive to nonverbal communication cues. 
D)  The nurse will identify the preferred language for each family member. 
E)  The nurse will utilize an interpreter when explaining health care procedures. C,D,E

Question 3

Which is the highest priority problem for a homeless patient without family in December?

Accepted Answer

A)  Risk for loneliness 
B)  Risk for hypothermia 
C)  Risk for social isolation 
D)  Risk for compromised human dignity 
A)  Risk for loneliness 
B)  Risk for hypothermia 
C)  Risk for social isolation 
D)  Risk for compromised human dignity B

Question 4

Which patients are considered to belong to vulnerable populations?

Accepted Answer

A)  An HIV-positive young adult working as a finance expert 
B)  A college graduate living in his parents' basement 
C)  A registered nurse who works at two different clinics 
D)  An unemployed single mother with four small children 
E)  A family that just moved to Florida and speaks no English 
A)  An HIV-positive young adult working as a finance expert 
B)  A college graduate living in his parents' basement 
C)  A registered nurse who works at two different clinics 
D)  An unemployed single mother with four small children 
E)  A family that just moved to Florida and speaks no English

Question 5

Which is an example of an incidence rate?

Accepted Answer

A)  The patient was able to ambulate 50 feet in 10 minutes. 
B)  65% of the hospital's registered nurses are bachelor-prepared. 
C)  The hospital has a 12% ventilator-associated pneumonia rate. 
D)  The patient's hemoglobin rate is 50% lower than the previous day. 
A)  The patient was able to ambulate 50 feet in 10 minutes. 
B)  65% of the hospital's registered nurses are bachelor-prepared. 
C)  The hospital has a 12% ventilator-associated pneumonia rate. 
D)  The patient's hemoglobin rate is 50% lower than the previous day.

Question 6

Which is an appropriate goal for the public health nurse working in the community?

Accepted Answer

A)  At least 95% of children in the elementary schools will be up to date on immunizations. 
B)  The family will learn how to transfer the patient to the toilet and assist the patient to dress each morning. 
C)  The patient's white blood cell count will return to normal by the time the antibiotic treatment has been completed. 
D)  Nursing assistants will be allowed to administer routine medications to residents of assisted care facilities. 
A)  At least 95% of children in the elementary schools will be up to date on immunizations. 
B)  The family will learn how to transfer the patient to the toilet and assist the patient to dress each morning. 
C)  The patient's white blood cell count will return to normal by the time the antibiotic treatment has been completed. 
D)  Nursing assistants will be allowed to administer routine medications to residents of assisted care facilities.

Question 7

Which is an appropriate goal within the scope of Healthy People 2020?

Accepted Answer

A)  Uninsured patients will receive the same level of care as patients with private health insurance. 
B)  The patient will be able to transfer to the wheelchair with a gait belt and assistance of one person. 
C)  The patient's family will verbalize reduction of stressors when respite care is provided for the patient. 
D)  Family members are taught how to assist the patient with feeding and other activities of daily living. 
A)  Uninsured patients will receive the same level of care as patients with private health insurance. 
B)  The patient will be able to transfer to the wheelchair with a gait belt and assistance of one person. 
C)  The patient's family will verbalize reduction of stressors when respite care is provided for the patient. 
D)  Family members are taught how to assist the patient with feeding and other activities of daily living.

Question 8

Which is the priority goal for a patient who is being abused by the spouse?

Accepted Answer

A)  The patient's dignity will remain intact. 
B)  The patient will remain free from injury. 
C)  The patient will develop a sense of trust with the nurse. 
D)  The patient will be able to verbalize fears to the nurse. 
A)  The patient's dignity will remain intact. 
B)  The patient will remain free from injury. 
C)  The patient will develop a sense of trust with the nurse. 
D)  The patient will be able to verbalize fears to the nurse.

Question 9

Which is an appropriate action of the community-based nurse when functioning in the role of case manager?

Accepted Answer

A)  The nurse calculates the immunization rate for junior high-school students in the district. 
B)  The nurse arranges for a transportation service to take the patient to physician appointments. 
C)  The nurse uses therapeutic touch to help relieve the patient's chronic low back pain. 
D)  The nurse helps the patient to sit upright and use pursed lip breathing during periods of dyspnea. 
A)  The nurse calculates the immunization rate for junior high-school students in the district. 
B)  The nurse arranges for a transportation service to take the patient to physician appointments. 
C)  The nurse uses therapeutic touch to help relieve the patient's chronic low back pain. 
D)  The nurse helps the patient to sit upright and use pursed lip breathing during periods of dyspnea.

Question 10

Which are socioeconomic factors that contribute to the health of a community?

Accepted Answer

A)  The community covers a total area of 14 square miles. 
B)  Almost 25% of the residents are of Native American descent. 
C)  Nearly 35% of the residents are eligible for free school lunches. 
D)  Approximately half of the residents work in the local automobile factory. 
E)  The community recently built a new hospital and medical office building. 
A)  The community covers a total area of 14 square miles. 
B)  Almost 25% of the residents are of Native American descent. 
C)  Nearly 35% of the residents are eligible for free school lunches. 
D)  Approximately half of the residents work in the local automobile factory. 
E)  The community recently built a new hospital and medical office building.

Question 11

The nurse identified the source of food poisoning as a local restaurant and ensured that no further patrons became ill.Which community health nursing role was demonstrated by these actions?

Accepted Answer

A)  Caregiver 
B)  Educator 
C)  Epidemiologist 
D)  Case manager 
A)  Caregiver 
B)  Educator 
C)  Epidemiologist 
D)  Case manager

Question 12

Which findings are included in the nurse's community assessment?

Accepted Answer

A)  Approximately 15% of the residents are college graduates. 
B)  The community's water system is free of arsenic and lead. 
C)  The community's mayor has been in office for the last 18 years. 
D)  The community average summer temperature is 78° F. 
E)  The community has paid police officers and volunteer firefighters. 
A)  Approximately 15% of the residents are college graduates. 
B)  The community's water system is free of arsenic and lead. 
C)  The community's mayor has been in office for the last 18 years. 
D)  The community average summer temperature is 78° F. 
E)  The community has paid police officers and volunteer firefighters.

Exam 4: Community-Based Nursing Practice

Which problem is the highest priority for a family who has just moved to the United States and does not speak any English?

Which communication methods will the community nurse use when interacting with recent immigrants who do not speak English?

Which is the highest priority problem for a homeless patient without family in December?

Which patients are considered to belong to vulnerable populations?

Which is an example of an incidence rate?

Which is an appropriate goal for the public health nurse working in the community?

Which is an appropriate goal within the scope of Healthy People 2020?

Which is the priority goal for a patient who is being abused by the spouse?

Which is an appropriate action of the community-based nurse when functioning in the role of case manager?

Which are socioeconomic factors that contribute to the health of a community?

The nurse identified the source of food poisoning as a local restaurant and ensured that no further patrons became ill.Which community health nursing role was demonstrated by these actions?

Which findings are included in the nurse's community assessment?

Professional Nursing

Health and Wellness

The Health Care Delivery System

Legal Principles in Nursing

Ethics

Evidence-Based Practice

Critical Thinking

Nursing Process

Informatics and Documentation

Communication

Patient Education

Managing Patient Care

Infection Prevention and Control

Vital Signs

Health Assessment and Physical Examination

Administering Medications

Fluid, Electrolyte, and Acid-Base Balances

Complementary and Alternative Therapies

Caring in Nursing Practice

Cultural Awareness

Spiritual Health

Growth and Development

Self-Concept and Sexuality

Family Dynamics

Stress and Coping

Loss and Grief

Exercise and Activity

Immobility

Safety

Hygiene

Oxygenation

Sleep

Pain Management

Nutrition

Urinary Elimination

Bowel Elimination

Skin Integrity and Wound Care

Sensory Alterations

Surgical Patient

Filters