Deck 25: Health Promotion in the Twenty-First Century

Question 1

A nurse is using the four-step public health approach to address violence in the community. Which of the following actions would the nurse take first?

A) Analyze a variety of data sources to determine the cause of the problem.
B) Examine risk factors that have contributed to the violence.
C) Develop an evidence-based program to address the problem.
D) Train community members to discuss the problem within their neighborhoods.

Answer 1

Examine risk factors that have contributed to the violence.

Question 2

A nurse is determining if children with severe acute malnutrition (SAM) should receive facility-based or community-based care. Which of the following children should receive care in the community?

A) 3-year-old male who has a history of dehydration
B) 9-month-old male whose family has adequate support and resources to obtain the recommended treatment
C) 4-year-old female who has sensitivity to milk products
D) 6-month-old female who has a good appetite and no underlying medical conditions

Answer 2

6-month-old female who has a good appetite and no underlying medical conditions

Question 3

The school nurse has been asked to present a workshop on how to prevent CA-MRSA spread in the school. Which of the following interventions should be emphasized?

A) Completing prophylactic antibiotic therapy for those in close contact with an infected person
B) Using correct hand-washing technique
C) Requiring those infected stay home from school until the infection has resolved
D) Disinfecting all classrooms on a daily basis

Answer 3

Using correct hand-washing technique

Question 4

The school nurse is planning a workshop for high school students about interpersonal violence (IPV). Which of the following information would the nurse discuss as risk factors for IPV?

A) Cultural norms
B) Family support
C) Drug and alcohol abuse
D) Depression

Question 5

A nurse is working at a clinic in a third world country and suspects a child has severe acute malnutrition (SAM). Which of the following assessment findings would be expected?

A) Distended abdomen
B) Bulging eyes
C) Large tears when crying
D) Lethargy

Question 6

A nurse states that many community members are concerned about the increasing number of natural disasters that have been occurring in the United States. Which of the following would the community members be referring to?

A) Fires and suicides
B) Wildfires and hurricanes
C) Traffic accidents and floods
D) Tornadoes and food poisonings

Question 7

Which of the following statements best explains priorities related to preventative health care?

A) Global initiatives have been developed to respond to health care needs around the world.
B) Health care initiatives are focused mainly on people in developed countries because of the access to medication.
C) Health care initiatives are focused mainly on people in developing countries because of their great need.
D) Public health agencies are leaders in health care development.

Question 8

Which of the following statements about smallpox is accurate?

A) Smallpox results in a rash that looks similar to the chickenpox rash.
B) Side effects from a smallpox vaccine include acute renal failure.
C) The last case of smallpox occurred in 1997.
D) The rash associated with smallpox is most prominent on the face and extremities.

Question 9

A nurse is working with UNAIDS to fight against HIV/AIDS at the global level. Which of the following activities would the nurse most likely be involved in?

A) Determining prevalence rates of HIV/AIDS in African countries
B) Administering antiretroviral medications to pregnant women who are HIV positive
C) Providing treatment access for all HIV-positive individuals who need medication
D) Reporting confirmed cases of HIV to the World Health Organization

Question 10

A nurse using the four-step public health approach to respond to violence. Which of the following actions would occur as the nurse identifies risk and protective factors?

A) Planning a community-based educational program to respond to violence
B) Reviewing police reports and population-based surveys
C) Interviewing local community members about their experiences with violence
D) Examining characteristics in the community where violence has not occurred

Question 11

The nurse is working at a crisis hotline center. Which of the following callers would be most at risk for suicide?

A) A 16-year-old girl who broke up with her boyfriend
B) A 26-year-old male who has been laid off from his job
C) A 50-year-old female who has a history of alcohol abuse
D) A 40-year-old male whose brother died suddenly

Question 12

A hurricane has just caused extensive damage within a local community. Which of the following are community members at risk to experience?

A) Unequal access to health care
B) Exposure to community-associated methicillin-resistant Staphylococcus aureus
C) Increased incidence of suicide
D) Outbreaks of acute respiratory infection

Question 13

Which of the following age groups is experiencing the greatest increase in suicide rates?

A) 15 to 24
B) 25 to 39
C) 40 to 59
D) 60 to 70

Question 14

A nurse working on a post-partum unit of a large urban hospital has received a grant to begin a "Baby-Friendly Hospital Initiative" developed by WHO. Which of the following statements would the nurse most likely make when explaining the major premises of the initiative to the unit manager?

A) "This program is meant to encourage sibling visits in the early postpartum period, so the adjustment to a new baby is a smooth process."
B) "A major goal of this program is to ensure that all infant/pediatric units have implemented basic safety initiatives."
C) "Improving nutrition by promoting breast-feeding of newborns through four months of age is what this program is all about."
D) "The purpose of this program is to make sure that all health care providers who care for newborns and children up to the age of 18 really understand basic principles of growth and development."

Question 15

A nurse is encouraging members of the community to advocate for the prevention of premature deaths in children under the age of 5 at the international level. Which of the following interventions would most likely be discussed by the nurse?

A) Using mosquito netting in sleeping areas
B) Participating in international vaccination programs
C) Implementing accident prevention programs
D) Providing nutritional supplements

Question 16

A nurse is working in the emergency department (ED). Which of the following situations would cause the nurse to suspect bioterrorism?

A) When two people out of twenty who ate at a restaurant come to the ED with nausea and vomiting
B) When a worker in a lab comes to the ED complaining of a severe headache
C) When thirteen people, aged 24 to 33, come to the ED with ascending flaccid muscle paralysis
D) When five people come to the ED with an upper respiratory infection

Question 17

A nurse is providing care to HIV positive clients living in sub-Saharan communities in Africa. When discussing prevention of the transmission of HIV, which of the following statements should be made by the nurse?

A) "Alternative practices to traditional sexual cleansing should be considered after the death of a spouse."
B) "Traditional sexual cleansing should be performed with a cleanser who is known to not have HIV."
C) "Virgin cleansing is a safer option than traditional sexual cleansing."
D) "Traditional sexual cleansing can lead to further transmission of HIV."

Question 18

Which of the following projects would most likely be administered by International Micronutrient Malnutrition Prevention and Control (IMMPaCT) Program?

A) Researching best methods to preserve the freshness of foods
B) Surveying various populations about consumption patterns
C) Comparing the effectiveness of vitamin pills versus fresh fruit and vegetables
D) Analyzing the relationship between BMI and cardiovascular disease

Question 19

Which of the following information about anthrax is correct?

A) Anthrax is a viral infection.
B) Anthrax can cause skin lesions or pneumonia.
C) Anthrax is spread by person-to-person contact.
D) Anthrax is treated by IV penicillin for 30 days.

Question 20

The school nurse has been asked to present a workshop on CA-MRSA for high school teachers. Which of the following information would the nurse most likely include?

A) CA-MRSA is a common viral infection that responds well to antiviral meds.
B) CA-MRSA is a serious bacterial infection that does not spread easily.
C) CA-MRSA is a fungal infection common in school settings.
D) CA-MRSA is a potentially fatal skin infection that is difficult to treat.

Question 21

Which of the following are classifications within the World Health Organization's (WHO) definition of malnutrition? (select all that apply)

A) Obesity
B) Micronutrients deficiencies
C) Protein-energy malnutrition
D) Water insufficiency

Question 22

Which of the following individuals assessed by the nurse is experiencing interpersonal violence? (select all that apply)

A) A 16-year-old female who hides in her apartment due to civil unrest in the country
B) A 32-year-old male whose co-worker sends him insulting e-mails at work
C) A 19-year old male who has attempted suicide
D) A 78-year-old female living in a nursing home who is force-fed by aides

Question 23

A primary care clinic is being established in a rural county that recently experienced a hurricane severely damaging its infrastructure for medical care. Which of the following considerations would be the priority when planning for this clinic?

A) The ability to provide mental health services to community members
B) The ability to deliver primary care services to community members
C) The ability to refer community members to other necessary services
D) The ability to supply community members with daily necessities

Question 24

A nurse is advocating for improved disease prevention and health promotion within the local community. Which of the following interventions would the nurse most likely implement?

A) Educate community members about the violence rates that exist within the community.
B) Administer flu shots for elderly at a local senior citizens center.
C) Participate in a disaster planning committee within the community.
D) Talk with a state legislator about improved access to health care for the uninsured and underinsured.

Question 25

Which of the following individuals would be susceptible to CA-MRSA? (select all that apply)

A) 16-year-old student who plays football
B) 48-year-old person who has taken antibiotics for sinus infections
C) 36-year-old man serving 12 months in jail for robbery
D) 22-year-old woman who shares a towel after a swimming meet
E) None of above

Question 26

A nurse employed by the World Health Organization is working with HIV positive clients in Africa and is teaching them about ways to reduce transmission of this disease. Which of the following barriers should be considered when planning this education? (select all that apply)

A) Culture-specific practices
B) Unavailability of antibiotic therapy
C) Lack of understanding about the transmission process
D) Overcrowded living areas

Question 27

A school nurse is planning an educational presentation for high school students about violence. Which of the following statements would be included in the presentation? (select all that apply)

A) "Violent behavior happens when someone bullies another person."
B) "Withholding food from a child as a punishment is violent behavior."
C) "Collective violence occurs during an argument between two people."
D) "Painting a racial slur on a building is violent behavior."

Question 28

A nurse is participating in disaster preparedness planning for the local community. Which of the following would be an appropriate responsibility for the nurse? (select all that apply)

A) Completing a risk assessment in the community
B) Implementing strategies to decrease posttraumatic stress disorder
C) Coordinating meetings among multiple agencies and disciplines
D) Evaluating the economic impact of the disaster