Community As Partner Theory And Practice in Nursing 6th edition by Anderson – Test Bank A+

Description

The concept of prevention is a key component of modern community health practice. Which of the following is an example of primary prevention?
	A)	Immunization clinic for seasonal influenza
	B)	Blood pressure screening for hypertension
	C)	Audiometric testing for hearing impairment
	D)	Skin test for tuberculosis

2.	The concept of prevention is a key component of modern community health practice. Which of the following is an example of secondary prevention?
	A)	Wearing of protective devices to prevent injury
	B)	Phenylalanine testing for phenylketonuria in infancy
	C)	Physical therapy for stroke victims
	D)	Exercise programs for heart attack victims

3.	The concept of prevention is a key component of modern community health practice. What is the goal of tertiary prevention?
	A)	General health promotion, such as nutrition, hygiene, exercise, and environmental protection
	B)	Specific health promotion, such as immunizations and the wearing of protective devices to prevent injuries
	C)	Detect and treat a problem at the earliest possible stage when disease or impairment already exists
	D)	Limit disability and rehabilitate or restore affected people to their maximum possible capacities

4.	Use of the epidemiologic process can significantly enhance community health practice, providing both a body of knowledge and a methodology for investigating health problems and evaluating health services. What is descriptive epidemiology?
	A)	It focuses on the distribution of frequencies and patterns of health events with groups in a population.
	B)	It is the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to improve health.
	C)	It is people with a common characteristic, such as gender, age, and place of residence.
	D)	It seeks to identify associations between a particular disease or health problem and its etiology.

5.	Epidemiology and demography are sciences for studying population health. What is demography?
	A)	Statistical study of human populations with reference to size and density, distribution, and vital statistics
	B)	Information about significant characteristics of a population that influence community needs and the delivery of health care services
	C)	Descriptions and comparisons of populations according to the characteristics of age; race; sex; socioeconomic status; geographic distribution; and birth, death, marriage, and divorce patterns
	D)	Health implications that may or may not be addressed by the investigators.

6.	There are several commonly used rates when applying epidemiology and demography to the practice of community health. What is the prevalence rate?
	A)	(Number of new cases of specified health condition during time interval/Estimated midinterval population at risk) ´ 1,000
	B)	(Number of current cases of a specified health condition at a given point in time/Estimated population at risk at same point) ´ 1,000
	C)	(Number of deaths of infants aged < 1 year during time interval/Total live births during time interval) ´ 1,000
	D)	(Number of deaths from puerperal cases during 1 year/Number of live births during same year) ´ 100,000

7.	To be valid, a screening test must distinguish correctly between those people who have the condition and those who do not. This ability to distinguish is measured by the test’s sensitivity and specificity. Sensitivity and specificity of a screening test are important. What is specificity of a screening test?
	A)	True positives/Total diseased
	B)	True negatives/Total not diseased
	C)	False negatives/Total diseased or 1 – Sensitivity
	D)	False positives/Total not diseased or 1 – Specificity

8.	How does the web of causation view a health condition?
	A)	The result of individual factors
	B)	Complex interrelationships of numerous factors interacting to increase the risk of disease only
	C)	Complex interrelationships of numerous factors interacting to decrease the risk of disease only
	D)	Complex interrelationships of numerous factors interacting to increase or decrease the risk of disease

9.	What is proportionate mortality rate?
	A)	(Number of deaths due to a specific cause/Total number of deaths from all cases) ´ 100
	B)	(Number of deaths of infants aged < 1 year during time interval/Total live births during time interval) ´ 1000
	C)	(Number of deaths from puerperal cases during 1 year/Number of live births during same year) ´ 100,000
	D)	(Number of live births during a time interval/Estimated midinterval population) ´ 1000

10.	In epidemiologic studies, data and statistics make comparison possible among populations. Which is an example of proportion?
	A)	2,000 motorcycle fatalities, 1,900 are male and 100 are female. The number of males compared to number of females (1900/100 or 19 males to 1 female).
	B)	2,000 motorcycle fatalities, 1,900 are male and 100 are female; the percentage of males to females would be 1,900/2,000 multiplied by 100, which equals 95%.
	C)	Crude death rates for heart disease in Florida and Texas were 288.0 and 190.0 per 100,000 persons, respectively.
	D)	20,000 people experience seasonal influenza/the total population of New York State residents less than 20 years of age ´ 100,000.

11.	Rates enable researchers to compare different populations in terms of health problems or conditions. What time frame are the majority of rates based upon?
	A)	Day
	B)	Week
	C)	Month
	D)	Year

12.	Rates enable researchers to compare different populations in terms of health problems or conditions. What is an adjusted rate?
	A)	Computed for a population as a whole
	B)	Rates related to demographic factors
	C)	(Number of people who experience a condition/population at risk experiencing a condition) ´ 1000
	D)	Summary measure in which statistical procedures remove the effect of differences in the composition of the various populations

13.	To investigate potential relationships between health conditions and other factors, analytic measures of community health are required. What is relative risk?
	A)	Incidence among those exposed/incidence rate among those not exposed
	B)	Odds of having the condition when the suspected factor is present/odds of having the condition when not exposed to the factor
	C)	Measures the difference between the incidence rates for those exposed and those not exposed to the risk factor
	D)	Identifies whether those in the exposed group will develop the disease or condition when compared with those not exposed

14.	To investigate potential relationships between health conditions and other factors, analytic measures of community health are required. Which is an example of an external relative risk factor?
	A)	Age
	B)	Exercise
	C)	Gender
	D)	Race

15.	Investigations of population health generally examine relationships or associations between variables. What is a dependent variable?
	A)	Constant characteristics or phenomena and the health conditions being studied
	B)	Control group and comparison group of the research study
	C)	Outcome or result that the investigator is studying which can change
	D)	Presumed cause of or contributor to variation in the variable

16.	An association may meet all the criteria for causation and later be shown to be false or factitious because of factors that were not known at the time the study was done. Investigators must interpret results with great caution; they rarely consider a cause “proven.” Which is a widely used criterion for evaluating causation?
	A)	Association is not strong.
	B)	Association is not specific.
	C)	Association is temporally correct.
	D)	Association is the result of a confounding variable.

17.	Interpreting and using data from various sources is essential to being an effective community health practitioner. What is the most comprehensive source of health-related data for the United States?
	A)	Census data
	B)	Notifiable disease reports
	C)	Surveillance data
	D)	Vital statistics

18.	Medical and hospital records provide valuable information for community health research. These records, however, do not provide a completely representative or valid picture of community health. Berkson’s bias creates the likelihood of finding a false association between how many illnesses?
	A)	Two
	B)	Three
	C)	Four
	D)	Five

19.	The epidemiologic triangle is a traditional view of health and disease, developed when epidemiology was concerned chiefly with communicable disease. The model is applicable to other health conditions. In this model, what is the organism capable of causing disease?
	A)	Agent
	B)	Environment
	C)	Factor
	D)	Host

20.	The person–place–time model examines the characteristics of the people affected, place or location, and the time period involved. In studying infant mortality, what is considered an example of the person in the model?
	A)	Rural community
	B)	Urban community
	C)	Infant and maternal factors
	D)	Trends in mortality

Name: __________________________ Date: _____________

1.	To maintain a clear focus on ethics, it is helpful to contrast its domain to that of law, in order to avoid the tendency to confuse the two or to simplify the moral struggle to do the right thing by seeking a legal reason for action. Which statement is correct concerning ethics?
	A)	Ethics considers people as inherently good.
	B)	Ethics proposes what a person must do.
	C)	Ethics imposes individuals to pay penalties.
	D)	Ethics is a way to enforce the current values of society.

2.	Ethics includes many levels of discourse, but the division of ethics most useful to health care decision making is that of applied ethics. What is applied ethics?
	A)	When one considers only his/her individual good or self-interest.
	B)	A branch of ethics that views everything as universally valid or where true moral principles apply.
	C)	A systematic, logical framework for analysis, discourse, and decision making that assists in ensuring decisions are grounded in “good” actions.
	D)	A system that focuses on those traits valued in personal relationships, such as compassion, love, sympathy, and trust.

3.	Although many philosophical approaches are discussed in the literature, two contrasting approaches are most helpful in applied ethics: deontology and teleology. What is deontology?
	A)	Decisions are made on the basis of the greatest good for the greatest number.
	B)	Actions are morally right when they are in accord with our nature and end as human beings.
	C)	A system that allows social and economic positions to be to everyone’s advantage and open to all.
	D)	A rule-based approach in which decisions are made by applying a set of rules of good conduct.

4.	Although many philosophical approaches are discussed in the literature, two contrasting approaches are most helpful in applied ethics: deontology and teleology. Which is an example of teleology?
	A)	All nurses need to follow personal moral codes in their personal and professional life.
	B)	Nurses should subscribe to professional codes of ethics in their daily actions as a nurse.
	C)	All individuals in a research study have a complete understanding and informed consent of the study.
	D)	Preventing communicable disease benefits many more people in the community than does caring for individual illnesses.

5.	Most people who enter the health care professions cite altruism as one of the reasons for their career choice. Given their desire to help others, the traditional framework of the relationship between health care professionals and the people they care for has been one of paternalism. What is paternalism?
	A)	The physician holds the role of the father, the nurse is the mother, and the patient is the child.
	B)	The client and health care professional share in determining the options and selecting the best choice for that person.
	C)	The balance of authority in decision making shifts away from the provider to the user of health care services and the consumer is clearly in control of choices among available options.
	D)	Interventions depend on the ability of the community health nurse to relinquish decision-making control to the community and to trust its ability to make responsible decisions.

6.	Most people who enter the health care professions cite altruism as one of the reasons for their career choice. When a nurse is making a career choice, which clinical setting would best support the operative framework of consumerism?
	A)	Burn/trauma unit
	B)	Cardiac critical care unit
	C)	Plastic surgery unit
	D)	Surgical intensive care unit

7.	A conception of the role of the health care professional, particularly applicable to community health nursing, is that of catalyst. In this model, what is a catalyst?
	A)	The concept involves understanding the world view, life circumstances, and priorities of those requesting or receiving care and exploring the possible options with them in light of their preferences.
	B)	The health care professional tries to imagine experiencing the situation of the person seeking care and offers an opinion of the best choice in full consideration of the other party’s individuality.
	C)	The community is seen to contain all the necessary qualities and resources for change, and the role of the health care professional is to provide the spark that will initiate change, as desired by the community and on its terms.
	D)	The concept to describe action within political, economic, and social systems on behalf of health interests of communities.

8.	The process of ethical decision making involves analysis of alternative actions in light of moral and ethical principles. In health care ethics, pervasive principles are useful in making conscientious decisions. What is autonomy?
	A)	The avoidance of harm.
	B)	The desire to act in the best interest of others.
	C)	The right of individuals to self-determination.
	D)	The recognition that every person and community has intrinsic value.

9.	The process of ethical decision making involves analysis of alternative actions in light of moral and ethical principles. Which ethical principle is the umbrella concept of the community-as-partner model?
	A)	Autonomy
	B)	Fidelity
	C)	Justice
	D)	Veracity

10.	The principle of justice has two aspects, both of them applicable to health care decision making. What is distributive justice?
	A)	The commitment to tell the truth.
	B)	The arena of reward and punishment.
	C)	The fair distribution of rights and resources.
	D)	Faithful in making promises and steadfast in keeping them.

11.	A nurse is having difficulty with the family decision for aggressive cancer therapy for an individual with metastatic lung cancer. The nurse is wondering if the cancer treatments might be more harmful than the progression of the disease because of the dangerous side effects of chemotherapy. What ethical principle is the nurse struggling with in this situation?
	A)	Autonomy
	B)	Beneficence
	C)	Justice
	D)	Nonmaleficence

12.	A community health nurse has to start an IV on a patient at home for antibiotics. The patient has never had an IV or been in a hospital. The patient asks the community health nurse if this will be a painful procedure. The nurse tells the patient the truth: that it will be uncomfortable while the needle is being inserted. What ethical principle is the nurse practicing?
	A)	Autonomy
	B)	Fidelity
	C)	Justice
	D)	Veracity

13.	To be effective on a long-term basis in a community, a community health nurse needs to network with health care providers in the community to obtain treatment for people made aware of serious health conditions by community health screenings. Which two ethical principles come into question when community health research projects involve health screening?
	A)	Autonomy and nonmaleficence
	B)	Fidelity and veracity
	C)	Respect for persons and beneficence
	D)	Beneficence and justice

14.	The diversity and complexity of communities lead inevitably to a plethora of conflicts between and among ethical principles. What potential conflicts are prominent features of many of the Healthy People 2010 National Health Goals?
	A)	Autonomy and beneficence
	B)	Autonomy and justice
	C)	Beneficence and justice
	D)	Respect for people and autonomy

15.	As the cost of health care increases, so does the population of uninsured and underinsured. Combined with the cost of litigation and extravagant settlements, open access to care is coming into question. What specific ethical quandaries apply to this situation?
	A)	Autonomy, beneficence, fidelity
	B)	Respect for people, nonmaleficence, veracity
	C)	Veracity, justice, nonmaleficence
	D)	Autonomy, beneficence, justice

16.	Working in partnership with communities requires careful consideration of all seven primary ethical principles and the interplay among them. Which three primary ethical principles are most often threatened by the community health nurse’s commitment to beneficence?
	A)	Autonomy, respect for people, and nonmaleficence
	B)	Fidelity, justice, veracity
	C)	Autonomy, justice, veracity
	D)	Nonmaleficence, fidelity, respect for people

17.	When an ethical issue arises for the community health nurse, what is the most important nursing responsibility in managing the patient care situation?
	A)	The nurse must be able to analyze the ethical principles at stake at any given decision-making point.
	B)	The nurse must follow the request of the patient and family members exactly as they have verbalized what they want done in the situation.
	C)	The nurse must ensure the community health care team takes ultimate responsibility for deciding the solution to the situation.
	D)	The nurse must remain neutral and detach all present beliefs when making ethical decisions.

18.	Following a motor vehicle accident, the wife of the victim requests that life support be continued in the absence of any brain function and that the patient be allowed to go home on life support. The health care team believes that life support should be immediately discontinued and the patient’s organs be donated. Which ethical principle applies to this situation?
	A)	Autonomy
	B)	Fidelity
	C)	Justice
	D)	Veracity

19.	It is important the community health nurse agree to do no harm to patients in working to heal patients in the least painful and harmful way possible. What ethical principle applies to the community health nurse?
	A)	Respect for person
	B)	Veracity
	C)	Beneficence
	D)	Nonmaleficence

20.	The community health nurse has to provide an elderly patient with a seasonal influenza immunization. The immunization will cause temporary discomfort at the injection site, but the benefits or protection from getting the flu outweigh any minor discomfort for the patient. Which ethical principle applies to the situation?
	A)	Autonomy
	B)	Fidelity
	C)	Beneficence
	D)	Nonmaleficence

Name: __________________________ Date: _____________

1.	A community health nurse is working in a large urban city, situated in a culturally diverse area of the country. What does the nurse need to do to be culturally competent?
	A)	Recognize that people with cultural backgrounds different from our own have unique values, life ways, health practices, and interpersonal styles.
	B)	Understand and address the total context of the patient’s situation, using knowledge, attitudes, and skills.
	C)	Be aware that people adapt to and borrow traits from another culture and change their own cultural patterns to those of the host society.
	D)	Remember that an individual’s own traditional beliefs and practices of their culture must always be observed.

2.	A community health nurse has been reading about ethnocentric views in a continuing education program. What are ethnocentric views?
	A)	Dual patterns of identification of two cultures, lifestyles, and sets of values.
	B)	Belief that one’s own culture or ways of life are better than that of others.
	C)	Belonging to a specific group of individuals who share a common social and cultural heritage.
	D)	Research framework that is used to provide the ability to focus on the culture of the community where the nurse is practicing.

3.	A community health nurse is presenting a continuing education program regarding health promotion to a senior citizen community center. What is one of the overarching goals of Healthy People 2010?
	A)	Developing partnerships between individuals and community health
	B)	Believing that community health is closely related to community health
	C)	Decreasing disparities among subgroups of the population
	D)	Increasing the length and improving the quality of healthy life

4.	Community health nurses must make the commitment to learn actively and use the knowledge and skills needed to work competently with culturally diverse clients, their families, and communities. What is the major reason that health disparities exist?
	A)	No sensitivity to the needs of the individuals to be served.
	B)	Problems experienced in accessing and effectively utilizing health services.
	C)	Belief that individual’s health is not closely related to community health.
	D)	Common ground exists among clients and communities to encourage culturally competent health care partnerships.

5.	Based on the population trends in this country, a new minority is emerging. What is the cause of the new minority?
	A)	Rapid growth rate in the population of racial and ethnic group diversity
	B)	Nurses that provide care to patients and families who represent global communities
	C)	Less frequent interactions with clients of diverse ethnic and cultural backgrounds whose health beliefs differ from our own
	D)	Development of required partnerships with individuals of different ethnic groups and community health

6.	A new community health nurse wants to enhance cultural awareness in the new job. What is the best way for the nurse to complete an in-depth self-examination of cultural competence?
	A)	Acknowledge and be aware of one’s own culture and willingness to explore one’s own feelings and biases
	B)	Be responsible for having excellent on-the-job motivation and commitment to caring for assigned patients
	C)	Complete a self-examination of superior social, cultural, and biophysical factors in the community
	D)	Become involved on a monthly basis in at least one cross-cultural interaction or workshop

7.	How the community health nurse looks at and deals with differences in human attributes can either build bridges or construct barriers with individuals in and across groups and communities. What is diversity?
	A)	Crosses two cultures, lifestyles, and sets of values
	B)	Condition of being different or having differences
	C)	Individuals with distinct identity that are related to a larger cultural group
	D)	Basic knowledge of the different culture’s health traditions in the community where the nurse is practicing

8.	Ethnicity should be understood as a social differentiation that engenders in us a sense of self-awareness and exclusivity, a sense of belonging. What is the best description of the composition of an ethnic group?
	A)	Associated with minority or majority populations who share the same cultural background
	B)	Associated with minority populations that do not share the traditions of their social heritage
	C)	Composed of individuals who share a unique cultural background and social heritage that is passed from one generation to the next generation
	D)	Composed of individuals that have distinct identity who relate well within the community at large

9.	It is helpful to think of one’s own ethnic culture. What question is helpful to examine about one’s ethnic culture?
	A)	What are the different bonds?
	B)	What cultural rituals are celebrated and with whom?
	C)	What types of things are not shared and kept private when people get together?
	D)	What types of foods are not prepared when people get together for an event?

10.	A community health nurse is working with a home health client who immigrated to this country 15 years ago. The client has changed the country of origin’s cultural patterns and has adopted the health care belief system of the United States. The community health nurse recognizes this as what type of change in the individual?
	A)	Acculturation
	B)	Culture
	C)	Diversity
	D)	Ethnicity

11.	The findings of these studies are especially helpful in guiding community practitioners who interact with clients in their homes and various types of community institutions. Who studied members of many diverse ethnic groups to gain an understanding of the links between cultural beliefs and health and illness behaviors and actions?
	A)	Eisenberg
	B)	Engel
	C)	Good
	D)	Kleinman

12.	Cultural beliefs based in shared meanings, values, and norms are key guidelines to consider when a person has a health problem. What is the first step an individual has to take when ill?
	A)	Examine all possible and probable causes of the illness.
	B)	Agree that the symptoms represent a problem.
	C)	Plan of action is decided upon.
	D)	Appropriate treatment is determined.

13.	Who makes the determination of how an individual acts when ill?
	A)	Community health nurse
	B)	Ethnic culture
	C)	Individual who is sick
	D)	Primary care provider

14.	Each cultural health care system has several recognized sectors. What are the sectors in Kleinman’s model?
	A)	Cultural health care system
	B)	Popular and cultural health care system
	C)	Folk, personal, professional
	D)	Folk, popular, professional

15.	The family is the nucleus of which sector of Kleinman’s model?
	A)	Cultural health system
	B)	Folk
	C)	Popular
	D)	Professional

16.	Lay practitioners and healers comprise which sector of Kleinman’s model?
	A)	Cultural health system
	B)	Folk
	C)	Popular
	D)	Professional

17.	A community health nurse works with a variety of cultures providing health care services that include acute treatment for illness. Which client most likely would believe that sickness is a punishment from God?
	A)	Hispanic client
	B)	Chinese client
	C)	Female client whose culture is controlled by males
	D)	Client whose family members are from Germany

18.	Which sector of Kleinman’s model differs in their social and cultural values, beliefs, and assumptions?
	A)	Cultural health system
	B)	Folk
	C)	Popular
	D)	Professional

19.	Which two sectors of Kleinman’s model are associated with belief systems that are nonscientific or subjective?
	A)	Folk and professional
	B)	Popular and cultural health system
	C)	Popular and professional
	D)	Popular and folk

20.	Community health nurses must make a commitment to gain knowledge about health beliefs and health practices that can be used in the delivery of culturally competent health care to at-risk populations. This knowledge is associated with which sector of Kleinman’s model?
	A)	Cultural health system
	B)	Folk
	C)	Popular
	D)	Professional

Name: __________________________ Date: _____________

1.	Community health nurses focus on identifying sources of information on which to base health care decisions to improve the health status of aggregates and the community as a whole. One patient talked about wanting to know if there were any blogs on diabetes. What is a blog?
	A)	Online diary that offers chronological sharing opportunities
	B)	Worldwide collection of networks in communication using special protocols
	C)	Words and commands entered into a search box to identify desired information
	D)	List of websites found on the Internet that have been organized by a hierarchy determined by the author of the directory

2.	Community health nurses use a variety of information to make health decisions and are expected to use informatics in practice to reduce errors; to obtain, evaluate, and manage information; in decision making; and in communication. What is the name for the part of the Internet that supports the use of information exchange, including pictures, sounds, and movies, using graphical user interface?
	A)	Boolean searching
	B)	Directory
	C)	Home page
	D)	World Wide Web

3.	Community health nurses who use informatics can better implement changes in health care. What is a mashup?
	A)	When two or more sources of data are combined to create an online tool, often using mapping features.
	B)	Tool that uses computer programs to search the Internet for websites and indexes those sites by keywords.
	C)	Single word and command that are entered into a search box to identify desired information.
	D)	A descriptive term that can be used to search documents that is useful to identify large amounts of information on a topic.

4.	A community health nurse is using an online collaborative writing opportunity to allow multiple community health nurses to add to a growing document on cardiovascular disease. Community agencies use this tool to develop member sites. What is the name of this type of electronic information?
	A)	Favorites
	B)	Hyperlink
	C)	Web browser
	D)	Wiki

5.	A patient asks the community health nurse if she knows anything about the various terms associated with the computer. The patient says that the home page on the computer has several terms that look like alphabet soup. What does HTML mean?
	A)	A list often complied as a help feature on websites or search engines to assist the new user.
	B)	Format for creating documents where the text in the document is formatted with specific coding, called tags, for communication with browser program.
	C)	Provide access to the Internet for a fee using a telephone dial-up service, cable network, or a wireless service provider.
	D)	Term for an Internet address that is shown on the browser in the locator bar and provides cues about the origin of the website.

6.	Electronic databases help determine the best strategies for evidence-based community health nursing practice. What is the name of the bibliographic electronic database with some full text access usually through medical or academic libraries to support informed community health nursing decisions?
	A)	CINAHL
	B)	ERIC
	C)	MEDLARS
	D)	MEDLINE

7.	What government source for health information is available electronically that will enable the community health nurse to learn about the many characteristics of a community and to identify trends or patterns?
	A)	The Centers for Disease Control and Prevention
	B)	United States Census Bureau
	C)	American Heart Association
	D)	American Cancer Society

8.	The community health nurse needs to locate current immunization information. Which electronic resource will be most helpful in locating the information?
	A)	The Centers for Disease Control and Prevention
	B)	United States Census Bureau
	C)	March of Dimes
	D)	American Cancer Society

9.	The community health nurse needs to locate information about end-stage renal disease, including vital statistics and health insurance facts. Which governmental electronic resource will be most helpful in locating the information?
	A)	National Library of Medicine
	B)	United States Census Bureau
	C)	March of Dimes
	D)	National Center for Health Statistics

10.	The community health nurse is looking for local information about geographic location of city services. Which electronic resource would most likely provide this information?
	A)	State government website
	B)	City government website
	C)	Nonprofit organization website
	D)	Community agency website

11.	The community health nurse was amazed with the amount of information available at governmental electronic sources of health information. Which is a non-government source of health information?
	A)	American Cancer Society
	B)	Morbidity and Mortality Weekly Report
	C)	Workplace Health and Safety
	D)	Preventing Chronic Disease Journal

12.	A community health nurse is searching for information about heart disease in Chicago, Illinois. What is the best search string to enter to locate this information?
	A)	Heart disease
	B)	Heart disease, Illinois
	C)	Heart disease, Dade County
	D)	Heart disease AND Chicago, Illinois

13.	The community health nurse is trying to increase the precision of a search. What would assist in this process?
	A)	Boolean searching
	B)	Use of a directory
	C)	Keyword searching
	D)	Search string

14.	The community health nurse is trying to locate information about physical therapy with the developmentally disabled. What would be the best way to locate this information?
	A)	Physical therapy
	B)	Physical therapy OR developmentally disabled
	C)	Physical therapy AND developmentally disabled
	D)	Physical therapy NOT developmentally disabled

15.	The community health nurse found a wonderful website 2 months ago on occupational therapy and nursing with stroke patients in the community. The community health nurse can no longer locate the website. What is the best source for identifying useful search engines?
	A)	Search Engine Watch
	B)	Directory on the Internet
	C)	Librarians Internet Index
	D)	National Institute of Medicine

16.	The community health nurse has to evaluate nursing research articles on community health nursing and diabetes for credibility and reliability. What is one of the best databases to search for these articles?
	A)	CINAHL
	B)	DIRLINE
	C)	ERIC
	D)	Google

17.	A client tells the community health nurse about the respiratory inhaler. The client has looked up information on the Internet about the medication. What would be the community health nurse’s best response?
	A)	“That is excellent that you reviewed information on the Internet about the medication.”
	B)	“The Internet does not provide credible information about medications. You must check with the pharmacist about the side effects of any medication.”
	C)	“You should only check with your primary care provider about the uses and adverse effects of the medication.”
	D)	“I would like to review the information with you. On what specific website did you locate the information?”

18.	The community health nurse is asked by a client what URL is in the Internet address. What does URL mean?
	A)	Provides cues about the origin of the website.
	B)	Specific programs needed to view websites on the Internet.
	C)	Tool that uses computer programs to search the Internet for websites by keywords.
	D)	Pull-down menu with commands to navigate the computer, Internet, or a website.

19.	The community health nurse is asked by a client what the designation of “.com” means?
	A)	Organization site
	B)	Government site
	C)	Educational site
	D)	Commercial site

20.	The community health nurse is evaluating the credibility of the information retrieved electronically about end-stage renal disease. What is the best question to ask about credibility?
	A)	Who wrote the information?
	B)	When was the information last updated?
	C)	Does the website show institutional affiliation?
	D)	Is the information true, and can it be confirmed with at least two other sources?

Name: __________________________ Date: _____________

1.	The nurse is using the community-as-partner model to complete a community health assessment. What type of model does this represent?
	A)	Disease oriented
	B)	Medical
	C)	Organ focused
	D)	Systems

2.	There are four concepts that are central to nursing—person, environment, health, and nursing—which provide a framework for the community-as-partner model. What is the definition for the person in this model?
	A)	Population or an aggregate
	B)	A network of people and their surroundings
	C)	Resource for everyday life, not the objective of living
	D)	Based on definitions of the other three concepts, it is prevention.

3.	The nurse is using the community-as-partner model to complete a community health assessment. There are two central factors in the model: a focus on the community as a partner, and the use of the nursing process. The nurse is reviewing the flexible line of defense, depicted as a broken line around the community and its normal line of defense. What does the flexible line of defense represent?
	A)	Level of health the community has reached over time
	B)	Internal mechanisms that act to defend against stressors
	C)	Buffer zone representing a dynamic level of health resulting from a temporary response to stress
	D)	Tension-producing stimuli that have the potential of causing disequilibrium in the system

4.	The nurse is using the community-as-partner model to complete a community health assessment. What do the mortality and morbidity rates represent in this model?
	A)	Degree of reaction
	B)	People
	C)	Flexible line of defense
	D)	Normal line of defense

5.	The nurse is using the community-as-partner model to complete a community health assessment. What does high rate of immunity represent in this model?
	A)	Normal line of defense
	B)	Flexible line of defense
	C)	Lines of resistance
	D)	Degree of reaction

6.	The nurse is using the community-as-partner model to complete a community health assessment. What do the demographics of the population represent in this model?
	A)	Degree of reaction
	B)	People
	C)	Flexible line of defense
	D)	Normal line of defense

7.	The nurse is using the community-as-partner model to complete a community health assessment. What are stressors in this model?
	A)	Level of health the community has reached over time
	B)	Internal mechanisms that act to defend against stressors
	C)	Buffer zone representing a dynamic level of health resulting from a temporary response to stress
	D)	Tension-producing stimuli that have the potential of causing disequilibrium in the system

8.	The nurse is using the community-as-partner model to complete a community health assessment. What assessment is completed first?
	A)	Community core
	B)	Community subsystems
	C)	Perceptions about community
	D)	Degree of reaction

9.	The nurse is using the community-as-partner model to complete a community health assessment. The nurse gathers birth and death statistics for the community. What does this represent in the community core?
	A)	History of the community
	B)	Demographics and ethnicity
	C)	Vital statistics
	D)	Values, beliefs, and religion

10.	When completing a community assessment, the community health nurse has to take several aspects of the community into account. What is the first stage of this assessment?
	A)	Learn about its people
	B)	Understand the major illness
	C)	Identify the boundaries of the community
	D)	Identify resources available in the community

11.	A community health nurse is completing a community assessment and needs to identify the monitoring, maintenance, and promotion of public health in the community. What is the best source for this information?
	A)	Law enforcement department
	B)	County health planning board
	C)	County health department
	D)	State vital statistics office

12.	A community health nurse is completing a community assessment and needs to identify extracommunity and intracommunity health services in the community. What is the best source for this information?
	A)	Chamber of commerce
	B)	County health planning board
	C)	County health department
	D)	City health planning board

13.	The community health nurse is reviewing services provided at a county clinic. What best describes the types of services that could occur as part of a well-child examination?
	A)	Physical assessment, education, and prescriptions filled
	B)	Physical assessment, referral for illness, immunizations, and screening
	C)	Physical assessment and monitoring for ongoing medical issues
	D)	Treatment and care instructions for chronic pediatric health conditions

14.	The community health nurse is trying to locate information about median household income, specifically the percent of households below poverty level in the community. What is the best source for these data?
	A)	Census records
	B)	Chamber of commerce
	C)	Department of Labor
	D)	Local union office

15.	The community health nurse is trying to locate information about solid waste sanitation in the community. What is the best source for this information?
	A)	Planning office
	B)	Waste and water treatment plants
	C)	Air control board
	D)	Census data

16.	Three nursing students are trying to locate education source information about the adequacy, accessibility, and acceptability of education to students and staff. What is the best source for this information?
	A)	Teachers and staff
	B)	Students and staff
	C)	School administrator
	D)	Local board of education

17.	Where can the community health nurse locate educational status information, including years of school completed, school enrollment by type of school, and language spoken?
	A)	Social characteristics section of census data
	B)	Teachers and staff
	C)	School administrator
	D)	Local board of education

18.	The community health nurse needs to get a formal announcement out about an upcoming health promotion program. What is the best example of a formal communication method that can be used in the community?
	A)	Word of mouth
	B)	Posters
	C)	Hand-delivered flyers
	D)	Newspaper

19.	Where is the community health nurse going to locate information about private transportation sources and the number of individuals who use this source with a transportation disability?
	A)	Local airport
	B)	State highway department
	C)	Local and city transportation authorities
	D)	Population and housing characteristics section of census data

20.	Physical examination components are used in assessing individuals and communities. What information is obtained during a systems review of a community?
	A)	Social systems, including housing, businesses, churches, and hangouts
	B)	Climate, terrain, natural boundaries, and resources
	C)	Listening to community sounds and residents
	D)	Walk through community