NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. Which of the following refers to international collaboration to improve health outcomes and decrease health inequities using a multimodal approach?
      A)
      Public health
      B)
      Global health
      C)
      Community health
      D)
      Population health
    2. A community health nurse is providing teaching to a client about primary prevention methods for sexually transmitted infections. The nurse should identify that the teaching reflects which of the following stages of the natural history of disease model?
      A)
      Incubation period
      B)
      Stage of clinical illness
      C)
      Stage of recovery, disability, or death
      D)
      Stage of susceptibility
    3. A nurse and a community team are using the nominal group planning method to analyze community-level data. Which of the following is true about nominal group planning?
      A)
      Nominal group planning is best used in situations where the final decision is made by the nurse leading the team.
      B)
      Nominal group planning is used for group exploration to allow for the exchange of dialogue and opinions by the stakeholders.
      C)
      Nominal group planning involves group consensus before prioritizing data.
      D)
      Nominal group planning is authoritarian with the key stakeholder dictating prioritization of community data.
    4. A nurse working at a middle school suspects that a student is experiencing physical abuse after performing an assessment on them. Which of the following actions should the nurse take next?
      A)
      Make a report to Child Protective Services (CPS)
      B)
      Call the police and report the suspected abuse.
      C)
      Call the child's guardian to have the child's pediatrician confirm the suspected abuse.
      D)
      Alert the school principal of the situation.
    Page 1 of 21

    Exam Review

    1. A community health nurse is calculating the top three causes of death in a county. Which of the following mortality measures should the nurse use to obtain this data?
      A)
      Proportionate mortality
      B)
      Crude mortality rate
      C)
      Cause-specific mortality rate
      D)
      Case fatality
    2. A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?
      A)
      Recommend the client obtain a part-time job
      B)
      Arrange a visit with a neurologist
      C)
      Encourage the client to engage in physical activity such as joining a sports team
      D)
      Schedule an appointment with a school-based counselor
    3. A nurse is counseling a caregiver who has a special needs child regarding the support of socio-emotional development and language skills. Which of the following recommendations should the nurse make?
      A)
      Read to the child at least four times per week.
      B)
      Allow regular naps for the child to foster proper brain growth.
      C)
      Enable playtime for the infant child once per month.
      D)
      Watch a favorite TV program with the child on a consistent basis.
    4. A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicare program?
      A)
      A client who is below the age of 18
      B)
      A client who is age 65 or older
      C)
      A client whose income is below the poverty line
      D)
      A client who does not have any other kind of health insurance
    Page 2 of 21

    Exam Review

    1. A community health nurse is calculating the number of deaths of school-age children in a county. Which of the following methods should the nurse use to obtain this data?
      A)
      Prevalence rate
      B)
      Case fatality rate
      C)
      Age-specific mortality rate
      D)
      Cause-specific mortality rate
    2. A community health nurse is preparing an in-service for staff to define the conditions of causation in epidemiology studies. Which of the following descriptions should the nurse use to define a cessation of exposure to establish causation?
      A)
      "When the exposure is decreased or eliminated, the risk of disease declines or is eliminated."
      B)
      "The exposure must come before the disease develops.
      C)
      "A relationship is biologically possible, and it makes sense."
      D)
      "Increased exposure increases the risk of developing the disease."
    3. A nurse is collecting and assessing primary and secondary data in the community. Which of the following is an example of secondary data?
      A)
      Crime statistics
      B)
      Direct observation
      C)
      Community informant interviews
      D)
      Windshield survey
    4. A public health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which of the following statements by the newly licensed nurse indicates an understanding of the table related to true positives?
      A)
      "True positives are represented in the table cell that indicates the person does not have the disease and the test indicates disease."
      B)
      "True positives are represented in the table cell that indicates the person has the disease and the test indicates the person has the disease."
      C)
      "True positives are represented in the table cell that indicates the person has the disease and the test does not indicate disease."
      D)
      "True positives are represented in the table cell that indicates the person does not have the disease and the test does not indicate disease."
    Page 3 of 21

    Exam Review

    1. A nurse and a community health team are trying to define key members who should help lead the implementation of a community program. Which of the following individuals would be considered a community influencer?
      A)
      The corporate manager of the restaurant chain with a facility in the community
      B)
      An individual who owns a vacation home in the community
      C)
      The program director of the local community health department
      D)
      A local high school student
    2. An occupational health nurse at a factory has been asked to investigate an employee injury claim. Which of the following information should the nurse review?
      A)
      The workplace procedures and protocols manual
      B)
      The Occupational Safety and Health Act
      C)
      The client's medical record or chart
      D)
      The client's attendance record at health and safety seminars
    3. The public health nurse is explaining to a newly licensed nurse how to investigate the incidence of breast cancer in the community. Which of the following information should the nurse provide about calculating the incidence rate?
      A)
      Incidence is a measure of mortality.
      B)
      Incidence includes only people at risk for the disease.
      C)
      The denominator for the incidence rate calculation is for the entire population
      D)
      New cases are not considered when calculating an incidence rate.
    4. A nurse is collaborating with a community team on a community-wide project. Which of the following processes involves the coordination of related projects to achieve the overall goals of the program?
      A)
      Program management
      B)
      Defining goals
      C)
      Project implementation
      D)
      Developing a timeline
    Page 4 of 21

    Exam Review

    1. A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?
      A)
      "Telehealth helps clients who have difficulty accessing a physician's office communicate with their primary care providers."
      B)
      "Telehealth helps to cover the cost of prescriptions, medical equipment, and other health care expenditures."
      C)
      "Telehealth is a supplemental program that fills in gaps in coverage from government-provided health insurance."
      D)
      "Telehealth can duplicate or replace all of the services provided by a health care institution."
    2. A nurse is reviewing various roles within the community. The nurse should identify which of the following statements best encompasses the description of a community health worker?
      A)
      Community health workers are paid or unpaid individuals active in promoting the health of a community.
      B)
      A community health worker should be a public health nurse.
      C)
      Community health workers are unpaid residents within a community who volunteer their services.
      D)
      Paid employees within the community comprise the role of a community health worker.
    3. A public health nurse plans to assess a community using the CHANGE model. According to this model, which of the following steps should the nurse take first?
      A)
      Develop a team strategy
      B)
      Gather data
      C)
      Build the community action plan
      D)
      Assemble the team
    4. A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?
      A)
      "I think that I missed two math tutoring classes last week, but I can still catch up."
      B)
      "I have not used drugs in 6 weeks."
      C)
      "I don't have anyone I can talk to about my problems."
      D)
      "I have been participating in my local YMCA after-school dance program again."
    Page 5 of 21

    Exam Review

    1. A community health nurse is providing teaching to a client who is being enrolled in a randomized controlled trial. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will not know if I am going to be in the intervention or control group."
      B)
      "The study will last for 10 years. You will contact me annually for an interview and blood work."
      C)
      "You'll need to find other participants like me but who do not have this disease."
      D)
      "The survey will take an hour to complete and then I'll be done."
    2. A public health nurse and a community team are working on a community diagnosis. Which of the following would be considered a community diagnosis?
      A)
      Impaired transferability
      B)
      Disturbed sleep pattern
      C)
      Risk for infection
      D)
      Alteration in family health management
    3. A nurse is caring for a client who has an acute case of cellulitis. After implementing a treatment protocol with the client, the client reports that they have had difficulty finding a job for almost a year and they sometimes skip meals to save money. Which problem is the priority for the nurse to address in the care plan?
      A)
      Health care illiteracy
      B)
      Food access
      C)
      Economic stability
      D)
      Quality of education
    4. 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?
      A)
      Implementing the Teach Back Method when prescribing medication
      B)
      Replacing Medicare programs with Medigap policies
      C)
      Eliminating the use of client portals or virtual visits
      D)
      Opening a community health center in an underserved area
    Page 6 of 21