RN Community Health Exam 1 (100 Quizzes) All with Correct Answers + Rationale| Multiple Choice
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RN Community Health Exam 1 (100 Quizzes) All with Correct Answers + Rationale| Multiple Choice| Guarantee A+ Score Guide 2023-24
Jennifer is a community health nurse in a large metropolitan area. According to the American Nurses Association's Code of Ethics (2001), community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing:
A. socioeconomic issues.
B. psychosocial issues.
C. sociocultural issues.
D. developmental issues.
{{Correct Ans- C. Sociocultural Issues
The Code of Ethics of the American Nurses Association (2001) promotes social reform by focusing on health policy and legislation to positively affect accessibility, quality, and cost of health care. Community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing sociocultural issues, such as human rights, homelessness, violence, and stigma of illness. Directing care toward socioeconomic issues, psychosocial issues, or developmental issues focuses on individuals, families, or groups, which in turn contributes to the health of the total population.
Mary is a nursing student doing her senior project in community health. Part of her assignment is to conduct an activity that illustrates "social health" within a group in her community. The most appropriate activity for Mary to organize would be a:
A. neighborhood block party.
B. food bank in a local church.
C. community yard sale.
D. school fundraiser for the school band.
{{Correct Ans- B. Food bank in a local church
Social health is a positive interaction among groups with an emphasis on health promotion and illness prevention. The correct choice is a food bank in a local church because a food program alleviates problems with hunger and nutrition that affect health. The other options do not relate to health.
It has been estimated that individual behaviors and environmental factors are responsible for what percentage of all premature deaths in the United States?
A. 20%
B. 40%
C. 50%
D. 70% {{Correct Ans- C. 50%
According to Orleans and Cassidy (2011), 50% of all premature deaths in the United States are a result of individual behaviors and environmental factors. According to Mokdad, Marks, Stroup, and Gerberding (2004), tobacco use leads the list of "actual causes of death" at almost 20% of annual deaths in the United States.
Early public health nurse Lillian Wald and her associates were successful in addressing health and disease in the immigrant community by:
A. supporting political activities to improve social and environmental conditions of immigrant families.
B. administering bedside nursing care to immigrants and their families.
C. teaching the immigrant family members to provide health care in the home.
D. obtaining and administering medications to the immigrants and their family members.
{{Correct Ans- A. Supporting political activities to improve social and environmental conditions of immigrant families
These early public health nurses saw that neither administering bedside clinical nursing, including obtaining and administering medication, nor teaching family members to deliver care in the home adequately addressed the true determinants of health and disease. They resolved that collective political activity should focus on advancing the health of aggregates and improving social and environmental conditions by addressing the social and environmental determinants of health. Wald and her colleagues (1971) impacted the health of the community by organizing the community, establishing school nursing, and taking impoverished mothers to testify in Washington, DC.
Disease prevention activities protect people from disease and the effects of disease. An example of primary disease prevention is:
A. teaching people with diabetes how to prevent complications.
B. administering vaccines to children before kindergarten.
C. checking the skin of farm workers for signs of skin cancer.
D. identifying and testing individuals exposed to someone with tuberculosis.
{{Correct Ans- B. Administering vaccines to children before kindergarten
Primary prevention activities prevent a problem before it occurs; an immunization is given to prevent a disease before it occurs. Secondary prevention refers to early detection and prompt intervention during the period of early disease pathogenesis, such as checking the skin for signs of skin cancer or identifying and treating individuals who have been exposed to contagious diseases. Aims of tertiary prevention are to keep health problems from getting worse, reduce the effects of disease and injury, and restore individuals to their optimal level of functioning. Examples of tertiary prevention include teaching prevention of complications from disease or referring a patient with a stroke for rehabilitation.
Every 10 years, the U.S. Department of Health and Human Services publishes a national prevention initiative titled Healthy People. One of the new objectives for Healthy People 2020 is to:
A. achieve access to preventive services of all Americans.
B. improve the nation's ability to prevent, prepare for, respond to, and recover from a major health incident.
C. reduce health disparities among Americans
D. increase independence of older Americans.
{{Correct Ans- B. Improve the nation's ability to prevent, prepare for, respond to, and recover from a major health incident
One of the new objectives for Healthy People 2020 focuses on preparedness for major health incidents. Achieving access to preventive services of all Americans and reducing health disparities among Americans were goals of Healthy People 2000, and increasing the independence of older Americans was a goal of the original 1979 Healthy People version.
Which of the following is an example of "community health nursing" rather than "community-based nursing"?
A. An RN assisting a doctor in a pediatrician's office
B. An RN visiting a home-bound patient to monitor for congestive heart failure
C. An RN reviewing school clinic records to determine which children are not up to date on their immunizations
D. An RN dispensing medications in a nursing home
{{Correct Ans- C. An RN reviewing school clinic records to determine which children are not up to date on their immunizations
"Community health nursing" focuses on groups of people, with the primary responsibility being the population as a whole (as with a school). Care typically focuses on health promotion and illness prevention, such as the nurse who reviews school clinic records to determine which children are not up to date on their immunizations. "Community-based nursing" is setting specific and emphasizes care to individuals, often in homes and ambulatory clinics, and typically addresses acute and chronic health conditions. The other options are examples of nurses providing care to individuals.
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