Test Generator Questions, Chapter 1, The Journey Begins: Introduction

Format: Multiple Choice

Chapter: 1

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analyze

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 2, Introduction

1. A nurse has taught a group of nursing students about the similarities and differences between public health and community health. Which statement by one of the nursing students would best describe the similarities and differences between public health and community health?

A) “Community health nursing is defined as nursing care that is provided in a community setting, rather than an institutional setting.”

B) “Public health nursing is defined as nursing care that is provided in an institutional setting.”

C) “Public health nursing is focused on the health of individuals.”

D) “Community health nursing can shape the quality of community health services and improve the health of the general public.”

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 1

Page and Header: 3, Community Health

2. A nurse is reviewing the similarities and differences between public health nursing and community health nursing. Which statement would best describe the difference between public health nursing and community health nursing?

A) Public health nursing is focused on the private aspects of health, and community health nursing is focused on the public aspects of health.

B) Community health practice refers to a focus on specific, designated communities and is a part of the larger public health effort.

C) Public health nursing and community health nursing relate to the very same types of services and perspectives.

D) Both public health nursing and community health nursing are practiced exclusively within institutions.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 3, Community Health

3. Which statement is most accurate about the concept of community?

A) A community is a collection of people who share some important features of their lives.

B) Community members live in the same geographic location.

C) Community members are biologically related.

D) A community is made up of people who do not necessarily interact with one another and do not necessarily share a sense of belonging to that group.

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 1

Page and Header: 7, Populations and Aggregates

4. A group of students are reviewing material for a test on populations, communities, and aggregates. Which statement indicates that the students understand these concepts?

A) Members of a population share a sense of belonging.

B) Communities and populations are types of aggregates.

C) Individuals of a community are loosely connected.

D) Members of an aggregate share a strong bond.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 5, The Concept of Community

5. Which would a community health nurse identify as a community of common interest?

A) The global community

B) Small rural town in a northern state

C) National professional organization

D) Counties addressing water pollution

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 6, Community of Solution

6. The nurse is working with a community of solution. Which would the nurse expect to find?

A) A health problem affecting the group

B) Common goal binding members together

C) Sharing of a similar goal

D) Locational boundaries

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 1

Page and Header: 9, The Health Continuum: Wellness–Illness

7. Which statement made by a student would the nurse educator recognize as evidence that a student understands the health continuum?

A) The distinction between health and illness is well demarcated.

B) Illness refers to a state of being relatively unhealthy.

C) The term health is limited to reflect an individual’s state.

D) Treatment of acute conditions reflects the current focus of health care.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 9, The Health Continuum: Wellness–Illness

8. When discussing the concept of the health continuum with a class, the nurse educator would be certain to include which statement in the description?

A) Wellness is a relative concept, and illness is a state of being relatively unhealthy.

B) A client’s placement on the health continuum is static throughout time.

C) Health is best described as cyclic.

D) The health continuum can only be applied to individuals.

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 4

Page and Header: 12, Proposed Leading Health Indicators

9. The nurse leading a classroom discussion about leading health indicators and asks the students to give an example of one of these indicators. Which condition given as an example by a student would indicate that the class has understood the lesson?

A) Cardiac disease

B) Mental health

C) Sedentary lifestyle

D) Respiratory disease

Difficulty: Easy

Integrated Process: Teaching/Learning

Objective: 1

Page and Header: 14, Promotion of Health

10. Which statement best describes the difference between health promotion and disease prevention?

A) Health promotion and disease prevention include all efforts that seek to move people closer to optimal well-being or higher levels of wellness.

B) Disease prevention differs from health promotion in that disease prevention is targeted toward a specific disease or diseases.

C) Health promotion can be described in terms of primary, secondary, and tertiary prevention.

D) The goal of disease prevention is to raise levels of wellness for individuals, families, populations, and communities.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 14, Promotion of Health

11. A group of community health nursing students designs a health education program for a group of pregnant teens. During the program, they plan to teach the group about nutrition during pregnancy, demonstrate helpful exercises, and discuss group members’ concerns. This is an example of:

A) health promotion.

B) treatment of disorders.

C) rehabilitation.

D) evaluation.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 14, Promotion of Health

12. The community health nurse is developing a plan of primary prevention activities for the community. Which activities might the nurse include? Select all that apply.

A) Teaching about safe sex practices to high school students

B) Encouraging older adults to install safety devices in the bathroom

C) Providing regular immunization programs for communicable diseases

D) Participating in cholesterol screening programs at health fairs

E) Providing skin testing for tuberculosis for children over 1 year of age

F) Working with a group testing water samples for contamination

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 19, Clients as Equal Partners

13. A community health nurse is preparing a presentation for a group of nursing students about community health nursing. Which description of community health nursing would the nurse most likely include in the presentation?

A) Focusing on addressing continuous needs

B) Working with the client as an equal partner

C) Engaging in tertiary prevention as the priority

D) Encouraging clients to reach out to the nurse

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 20, Interprofessional Collaboration

14. A community health nurse is working with other members of a team that will be implementing a city-wide immunization program. The nurse is coordinating the services and addressing the needs of the population groups to demonstrate:

A) involvement of the community.

B) client participation.

C) continuity of service.

D) plan for follow-up.

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 19, The Greatest Good for the Greatest Number of People

15. A community health nurse works to ensure the greatest good for the greatest number of people by applying:

A) secondary prevention activities.

B) autonomy.

C) justice.

D) utilitarianism.

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 4

Page and Header: 9, FIGURE 1-4

16. Using Healthy People 2020 as a guide, the community health nurse would include which factor in a teaching plan to demonstrate that the targeted population understands the basic information provided during an educational session?

A) Self-care

B) Health disparities

C) Health literacy

D) Episodic needs

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 1

Page and Header: 9, FIGURE 1-4

17. Which would be crucial for the community health nurse to address as the priority when dealing with policymakers about the development of community health programs?

A) Research-based best practices

B) Population’s make-up

C) Amount of services to be provided

D) Scarcity of the available resources

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 3, Community Health

18. After a class that described the differences between acute care nursing and community health nursing, which statement by the class about community health nurses indicates successful teaching?

A) Use a reactive approach.

B) Seek out potential health problems.

C) Concentrate on the illness end of the continuum.

D) Emphasize curative care.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 3, Community Health

19. Which activities would be associated with a community health nurse? Select all that apply.

A) Examining infants in a city well-baby clinic

B) Caring for elderly stroke victims in their homes

C) Providing emergency care in an acute care facility

D) Carrying out epidemiologic research

E) Participating in health policy analyze

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 3, Community Health

20. The term “health” can be described in many different ways. How would the community health nurse define health?

A) The absence of disease

B) The potential to lead a productive life

C) An environment free of toxins

D) A holistic state of well-being

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 4

Page and Header: 13, Subjective and Objective Dimensions of Health

21. While interviewing a client, which statement would a nurse identify as reflecting an objective dimension of health?

A) “I’m feeling better since I started taking that medication.”

B) “Life is pretty good right now, except for an occasional upset stomach.”

C) “I’m able to wash myself in the mornings with just a bit of help.”

D) “Sometimes when I wake up, I don’t even want to face the day.”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 18, Population Focused

22. When employing a population-oriented focus, which would the community health nurse do?

A) Assess the groups’ relationships looking for a common need.

B) Consider the members individually for similarities.

C) Focus on the geographical area of the population.

D) Promote the groups’ dependency on improving health.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 12, BOX 1-5

23. A community health nurse is involved in a project to evaluate the health of a city. Which finding would suggest that the city would most likely need additional programs?

A) Citizens are actively involved in the city’s department of recreation and after-school programs.

B) The construction of affordable organized housing developments and communities is nearing completion.

C) Approximately one-third of the people are recently unemployed due to the closure of the automotive factory.

D) Several new recreational facilities for adults and children have been created at several locations.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 14, Promotion of Health

24. The community health nurse is developing a plan of secondary prevention activities. Which actions might the nurse include? Select all that apply.

A) Participating in skin cancer screening programs at health fairs

B) Encouraging parents to install safety devices in electrical outlets

C) Providing annual flu vaccinations

D) Participating in hypertension screening programs at health fairs

E) Providing skin testing for tuberculosis for children over 1 year of age

F) Teaching college-age students about the importance of meningococcal vaccinations

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 14, Promotion of Health

25. The community health nurse is developing a plan of secondary prevention activities. Which actions would the nurse incorporate into the plan? Select all that apply.

A) Encouraging monthly self-breast examinations during a women’s health fair

B) Teaching parents to place infants on their backs to sleep

C) Providing BMI measurements during a health fair

D) Participating in cholesterol screening programs at health fairs

E) Educating high-risk community groups about the importance of exercise at a hypertension clinic

F) Teaching elementary students about the importance of using “MyPlate”

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 14, Promotion of Health

26. The community health nurse is developing a plan of secondary prevention activities. Which actions would the nurse incorporate into the plan? Select all that apply.

A) Encouraging monthly testicular self-examinations during a men’s health fair

B) Teaching preschool children the importance of daily activity

C) Providing height and weight measurements during a health fair

D) Participating in diabetes screening programs at health fairs

E) Educating high school students about safe sex practices

F) Encouraging women to schedule yearly mammograms

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 14, Promotion of Health

27. The community health nurse is developing a plan of tertiary prevention activities. Which actions might the nurse include? Select all that apply.

A) Developing a nutritional plan of care for clients with eating disorders

B) Developing an exercise plan for COPD clients

C) Providing bicycle safety education during a health fair for children

D) Participating in hypertension screenings at health fairs

E) Participating in bone density screenings at health fairs

F) Educating children on swimming safety

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 14, Promotion of Health

28. The community health nurse is developing a plan of tertiary prevention activities. Which actions might the nurse incorporate into the plan? Select all that apply.

A) Providing a support group for breast cancer survivors

B) Encouraging women to schedule yearly Pap smears

C) Providing height and weight measurements during a health fair

D) Participating in diabetes screening programs at health fairs

E) Educating high school students about bullying

F) Providing a community-based stroke rehabilitation program