Comprehensive Questions

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Total Questions : 15

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Question 1:

The ANA’s Health System Reform Agenda (2008) included which of the following?

Answer and Explanation

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Question 2:

When performing collaborative health care, the nurse must implement which of the following?

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Question 3:

The nurse concludes that effective discharge planning (hospital to home) has been conducted when the client states which of the following?

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Question 4:

A large disaster in a community resulted in the destruction of many family homes and many individuals were injured. The assistance of community health nurses and home health nurses is needed. The home health nurse is most likely to perform which of the following?

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Question 5:

The public health nurse is working with the local city/county health department during a pandemic that has created a crisis within the community. What are the responsibilities of the public health nurse during the pandemic? Select all that apply

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Question 6:

A community health nurse is working in a clinic with a focus on asthma and allergies. What is the primary focus of the community health nurse in this clinic setting? Select all that apply

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Question 7:

The nurse caring for a refugee community identifies that the children are under vaccinated and the community is unaware of resources. The nurse assesses the community and determines that there is a health clinic within a 5-mile radius. The nurse meets with the community leaders and explains the need for immunizations, the location of the clinic, and the process of accessing health care resources. Which of the following practices is the nurse providing? Select all that apply

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Question 8:

A nurse in a community health clinic reviews screening results from students in a local high school during the most recent academic year. The nurse discovers a 10% increase in the number of positive tuberculosis (TB) skin tests when comparing these numbers to the previous year. The nurse contacts the school nurse and the director of the health department. Together they begin to expand their assessment to all students and employees of the school district. The community nurse is acting in which nursing role(s)? Select all that apply

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Question 9:

A nursing student is giving a presentation to a group of other nursing students about the needs of patients with mental illnesses in the community. Which statement by the student indicates that the nursing professor needs to provide further teaching?

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Question 10:

The nurse in a new community-based clinic is requested to complete a community assessment. Order the steps for completing this assessment.

Answer and Explanation

Explanation

A community assessment helps nurses gather data to identify health needs, plan interventions, and allocate resources effectively. The assessment typically follows a structured approach

Rationale for correct answers:

Step 1: Structure or locale

The assessment begins by evaluating the physical environment and setting of the community. Understanding the geographic and environmental context lays the foundation for identifying how the community is organized and what resources are available.

Step 2: Population

After understanding the locale, the nurse assesses the people who live in the community. This helps identify who the community members are and what their specific health needs may be.

Step 3: Social systems

Finally, the nurse evaluates how the population interacts within their environment by assessing the community's social systems. These systems affect access to care, health behaviors, and the overall well-being of the population.

Take-home points:

  • A thorough community assessment starts with understanding the environment (structure), then the people (population), and finally their interactions and support networks (social systems).
  • Community health nurses use these steps to identify needs, plan care, and implement effective health interventions within the context of the local environment.

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Question 11:

The public health nurse is working with the county health department on a task force to fully integrate the goals of Healthy People 2030. Most of the immigrant population do not have a primary care provider, nor do they participate in health promotion activities; the unemployment rate in the community is 25%. How does the nurse determine which goals need to be included or updated? Select all that apply

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Question 12:

The community health nurse is teaching a parenting skills class to new parents. Which of the following parent statements indicates that the teaching has been effective? Select all that apply

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Question 13:

According to the American Nurses Association, which of the following standards of care must be implemented during response to a disaster? Select all that apply

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Question 14:

Which of the following is one of the developmental tasks of the older adult family?

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Question 15:

Which of the following is one element of a healthy community?

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