Community and Public Health Nursing, Evidence for Practice 2nd Edition by Gail A. Harkness, Rosanna DeMarco – Test Bank  

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INSTANT DOWNLOAD COMPLETE TEST BANK WITH ANSWERS

 

Community and Public Health Nursing, Evidence for Practice 2nd Edition by Gail A. Harkness, Rosanna DeMarco – Test Bank

 

 

Sample  Questions

 

1. You are comparing the current leading causes of death in the community to those at the beginning of the 20th century. Using your knowledge about the importance of looking at changing demographics, what was the leading cause of death in the United States in 1900?
A) Major cardiovascular-renal disease
B) Influenza and pneumonia
C) Tuberculosis
D) Gastritis, duodenitis, enteritis, and colitis

 

 

2. You have to prepare a short presentation on the history of epidemiology of tuberculosis. Using your knowledge about the history of epidemiology, who first described pulmonary tuberculosis in detail?
A) Hippocrates of Cos
B) Aretaeus the Cappadocin
C) Claudius Galen
D) Susruta

 

 

3. You have to prepare a short presentation on the history of epidemiology. Using your knowledge about the history of epidemiology, who is considered the first epidemiologist?
A) Hippocrates of Cos
B) Aretaeus the Cappadocin
C) Claudius Galen
D) Susruta

 

 

4. You are making a graph for the new community health nurse orientation about the similarities between the nursing process and the epidemiologic process. Based on your knowledge of these important processes, what occurs in the epidemiologic process that is similar to the diagnosis phase of the nursing process?
A) Data are gathered from reliable sources.
B) Health care needs and assets are identified.
C) Goals and objectives for care are established.
D) Tentative hypothesis is formulated.

 

 

5. The study of illness and causes of death in groups of people began in the 17th century. You have to prepare a short presentation on the history of epidemiology. Using your knowledge about the history of epidemiology, who was considered the founder of modern statistics?
A) William Farr
B) John Graunt
C) Florence Nightingale
D) John Snow

 

 

6. You are preparing for the new community health nurse orientation about the care of individual and community clients. Using your knowledge about the community who has the best potential to link environmental exposure to illness and disease?
A) Nurse practitioner
B) Primary care provider
C) Medical examiner
D) Nurse

 

 

7. As a community health nurse you know that early attempts to understand illness and disease focused on the study of the experiences of individual people. Using this knowledge, how would you define epidemiology to a group of nursing students?
A) An outbreak that occurs when there is an increased incidence of a disease beyond that which is normally found in the population
B) Model based on the belief that health status is determined by the interaction of the characteristics of the host, agent, and environment
C) Study of the distribution and determinants of states of health and illness in human populations
D) Epidemiologic model that strongly emphasizes the concept of multiple causation while de-emphasizing the role of agents in explain illness

 

 

8. You are compiling data about the community for the last 12 months. Using your knowledge about epidemiology as a research methodology you have been asked to document rates. What is a rate?
A) Course of a disease or condition from the onset to resolution
B) Primary measurement used to describe either the occurrence or the existence of a specific state of health or illness
C) Probability or likelihood that a disease or illness will occur in a group of people who presently do not have the problem
D) Characteristics or events that have been shown to increase the probability that a specific disease or illness will develop

 

 

9. You have to prepare a short presentation on the history of vital statistics. Using your knowledge about the fact that the study of illness in groups of people developed gradually, who analyzed the weekly reports of births and deaths in London and as a result these analyses became the precursor of modern vital statistics?
A) William Farr
B) John Graunt
C) Florence Nightingale
D) John Snow

 

 

10. You have to prepare a short presentation on the history of epidemiology. Using your knowledge about population data, who was the best known epidemiologist of the 19th century who used population data and his own observations to investigate the epidemic of cholera that occurred from 1848 through 1854?
A) William Farr
B) John Graunt
C) Florence Nightingale
D) John Snow

 

 

11. You are describing the classic model to the new community health care nurse. Using your knowledge that this model is based on the belief that health status is determined by the interaction of the characteristics of the host, agent, and environment, not by any single factor, what is this model commonly called?
A) Epidemiologic triad
B) Wheel of causation
C) Web of causation
D) Natural history

 

 

12. During the orientation of the new community health nurse to your agency you are describing epidemiologic models. Using your knowledge about the various epidemiologic models, what model strongly emphasizes the concept of multiple causation while de-emphasizing the role of agents in explaining illness?
A) Epidemiologic triad
B) Wheel of causation
C) Web of causation
D) Natural history

 

 

13. As the community health nurse you have to compile community programs based on primary, secondary, and tertiary prevention measures. Using your knowledge that Leavell and Clark developed a conceptual model for the natural history of any disease affecting humans, what is an example of tertiary prevention?
A) Prevent the onset of a disease in a population of well people
B) Focus on early diagnosis and prompt treatment of the disease
C) Focus on limiting and resulting disabilities of the disease
D) Rehabilitation measures that enable the individual to function at maximum capability

 

 

14. You are making a graph for the new community health nurse orientation about the similarities between the nursing process and the epidemiologic process. Based on your knowledge of these important processes, what occurs in the epidemiologic process that is similar to the implementation phase of the nursing process?
A) Actions are initiated to achieve goals.
B) Actions are initiated to implement the plan.
C) Actions are evaluated and report prepared.
D) Further research is conducted if necessary.

 

 

15. You have just completed a new client assessment on a patient in the community. Using your knowledge that a common process is to assess individuals for risk factors that have been associated with a disease or illness, what are risk factors?
A) Course of a disease or condition from the onset to resolution
B) Primary measurement used to describe either the occurrence or the existence of a specific state of health or illness
C) Probability or likelihood that a disease or illness will occur in a group of people who presently do not have the problem
D) Characteristics or events that have been shown to increase the probability that a specific disease or illness will develop

 

 

16. You have to document the course of your client’s condition from the onset to resolution  Using your knowledge about the natural history of most illnesses, what stages will be included in the documentation?

1. Pathological onset stage

2. Presymptomatic stage

3. Manifestation of clinical disease

4. Resolution

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

17. You have been requested to investigate the outbreak of H1N1 in the community. Using your knowledge about epidemiologic research, what is an outbreak?
A) Course of a disease or condition from the onset to resolution
B) Primary measurement used to describe either the occurrence or the existence of a specific state of health or illness
C) Probability or likelihood that a disease or illness will occur in a group of people who presently do not have the problem
D) Characteristics or events that have been shown to increase the probability that a specific disease or illness will develop

 

 

18. During the orientation of the new community health nurse to your agency you are describing epidemiologic models. Using your knowledge about the various epidemiologic models, what  epidemiologic model de-emphasizes the agent as the sole cause of disease while emphasizing the interplay of physical, biological, and social environments?
A) Epidemiologic triad
B) Wheel of causation
C) Web of causation
D) Natural history

 

 

19. You are preparing a chart to review epidemiologic statistics of the community. Using your knowledge that the primary way to demonstrate prevention or control of a health problem is to compare epidemiologic statistics, when should this review be done?
A) Before implementation of the health service
B) During and after implementation of the health service
C) Before and during implementation of the health service
D) Before and after implementation of the health service

 

 

20. You have to prepare a short presentation on the history of epidemiology. Using your knowledge about history of statistics, who used statistics to improve public health in England?
A) William Farr
B) John Graunt
C) Florence Nightingale
D) John Snow

 

1. You are preparing a research study on the number of heart attacks in the community and the number of individuals who are actively involved in exercise programs following a heart attack. Using your knowledge about research study design, what is the gold standard for a research design that should be considered?
A) Randomized, control group
B) Quasi-experimental
C) Experimental
D) Descriptive epidemiologic

 

 

2. You are preparing to do a research study on the effects of tight insulin control for diabetes. Using your knowledge that epidemiologic research can be descriptive or analytical, what would be the weakest study design to consider?
A) Retrospective
B) Quasi-experimental
C) Experimental
D) Randomized, controlled group

 

 

3. You are reviewing a research article that reviews causality. Using your knowledge of research designs, what type of design examines causality?

1. Retrospective

2. Quasi-experimental

3. Experimental

4. Randomized, controlled group

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

4. You have clients in your caseload who have been requested to participate in a preventive trial about pneumonia. You know the focus of this trial is primary prevention. How would you explain this focus to the clients?
A) The trial focuses on reducing the incidence of disease.
B) The trial focuses on preventing illness in individuals.
C) The trial focuses on testing new therapies.
D) The trial focuses on limiting the spread of disease.

 

 

5. You are reviewing published research articles in preparation for the research that will be conducted on the effects of tight insulin control for diabetes. Using your knowledge about research, what type of study could lead to hypotheses for the future research on the effects of tight insulin control for diabetes?
A) Randomized, control group
B) Quasi-experimental
C) Experimental
D) Descriptive epidemiologic

 

 

6. You are reviewing published research studies on the number of heart patients who are actively involved in exercise programs following a heart attack in preparation of conducting similar research. Using your knowledge about research validity and reliability, what is a threat to internal validity that needs to be considered?
A) Reactivity
B) Novelty
C) Experimenter/participant effect
D) Instrumentation

 

 

7. You are reviewing published research studies on the number of heart patients who are actively involved in animal-assisted therapy following a heart attack in preparation of conducting similar research. Using your knowledge about research validity, a threat to internal validity of research is testing. What has to be considered about testing?
A) Events that are occurring during the study, which could influence participants’ responses to the intervention
B) Unplanned and unrecognized changes in the participants that could affect the findings of the study, such as fatigue, hunger, or increased knowledge
C) Effect of multiple measurements of participants’ responses that could influence the participants’ responses, thereby altering the outcome of the study
D) The process by which participants are selected and grouped for a study. This threat is more likely to occur when randomization is not possible.

 

 

8. You are reviewing published research studies on the number of heart patients who are actively involved in exercise programs following a heart attack in preparation of conducting similar research. Using your knowledge about research validity, what is a threat to external validity that must be considered?
A) Mortality
B) Selection
C) Reactivity
D) Maturation

 

 

9. You are reviewing published research studies on the number of smokers who are leading a sedentary lifestyle in preparation of conducting similar research. Using your knowledge about research validity, a threat to external validity is interaction of history and intervention. What is the interaction of history and intervention?
A) Occurs when the circumstances of the study influence the results of the study, decreasing the generalizability of the findings
B) Occurs when the characteristics of the study setting influence the outcome of the study, limiting the generalizability of the findings to other settings
C) Occurs when subjects willing to participate in the study are not representative of the target population, thus limiting the generalizability of the results
D) Occurs when the researcher has preconceived expectations of the intervention, resulting in bias and affecting the generalizability of the findings

 

 

10. You are reviewing published research studies on animal-assisted therapy with depression patients in preparation of conducting similar research. Using your knowledge about the uses of comparisons between groups to determine the role of various risk factors in causing the problem, what type of study should be considered?
A) Analytic
B) Descriptive
C) Intervention
D) Observational

 

 

11. You are considering doing a prospective study about the use of animals to help patients to ambulate following a heart attack. Using your knowledge about the various types of research studies, what is a prospective study?
A) Descriptive study in which participants are enrolled before the health outcome of interest has occurred
B) Analytic study in which participants are enrolled before the health outcome of interest has occurred
C) Descriptive study in which participants are enrolled after the health outcome of interest has occurred
D) Analytic study in which participants are enrolled after the health outcome of interest has occurred

 

 

12. You are reviewing published research studies on patients with diabetes mellitus and patients without diabetes mellitus. Using your knowledge about observational analytic studies that enroll one group of persons with a certain health problem and a group of persons without the health problem, what type of study was used in this published research study?
A) Case control
B) Case
C) Clinical trial
D) Cohort

 

 

13. You are reviewing published research studies with an analytical research study design. Using your knowledge about analytical research study design on a continuum, ranging from strongest to weakest designs, what is the weakest design?
A) Retrospective correlational
B) Cohort
C) Case control
D) Prospective

 

 

14. You are reviewing a case-control published research article on individuals with COPD and individuals without COPD. Using your knowledge of research designs, what is an advantage of a case-control study?
A) Allows for the examination of multiple exposures for multiple outcomes
B) Allows for the direct measure of the incidence of a disease
C) Generally quicker and less expensive to conduct than cohort studies
D) Appropriate for studying rare exposures

 

 

15. You have clients in your caseload who have been requested to participate in a therapeutic trial about H1N1 influenza. Using your knowledge about trials, what can you tell the clients about the therapeutic trial on H1N1 influenza?
A) Based on primary prevention
B) Dependent variable is manipulated by the researcher
C) Focuses on limiting the spread of disease
D) Focuses on reducing the incidence of influenza

 

 

16. You are reviewing a published research study on the effects of an animal visiting a patient and observing a decrease in blood pressure and pulse after the visit. Using your knowledge of statistical analysis, what would be an appropriate P value that would ensure that the study results are not due to chance alone?
A) .04
B) .05
C) .06
D) .07

 

 

17. You are reviewing a published research study on the clinical trial of a new medication. Using your knowledge of statistical analysis, it is important that the sample size in intervention trials be large enough for adequate statistical power to prevent a type II error. What is a type II error?
A) Occurs when the null hypothesis is rejected when it is true
B) Occurs when one rejects the alternative hypothesis when the alternative hypothesis is true
C) Occurs when the null hypothesis is accepted when it is false
D) Occurs when one accepts the alternative hypothesis when the alternative hypothesis is false

 

 

18. You are designing research questions related to the lead poisoning issue in community and public health nursing practice. You have reviewed the literature about statistical relationships that exist for lead poisoning. Using your knowledge about associations, what is the minimal number of events, characteristics, or other variables that have to exist in the statistical relationship?
A) Two
B) Three
C) Four
D) Five

 

 

19. You are reviewing published research studies on the number of cancer patients who are actively involved in exercise programs following chemotherapy in preparation of conducting similar research. Using your knowledge about maturation, you know that this can be a threat to internal validity of the research study. What is maturation?
A) Events that are occurring during the study, which could influence participants’ responses to the intervention
B) Unplanned and unrecognized changes in the participants that could affect the findings of the study, such as fatigue, hunger, or increased knowledge
C) Effect of multiple measurements of participants’ responses that could influence the participants’ responses, thereby altering the outcome of the study
D) The process by which participants are selected and grouped for a study. This threat is more likely to occur when randomization is not possible.

 

 

20. You are reviewing published research studies on patients with developmental disabilities who receive music therapy once a week. Using your knowledge about research studies, what type of research study would entail an in-depth analysis of one group of developmentally disabled individuals and the effects of music therapy?
A) Case control
B) Case
C) Clinical trial
D) Cohort

 

1. Home care is part of a continuum of care where clients have the opportunity to live through the experiences of subacute, chronic, and end-of-life care. Using your knowledge about home health care, what is assisted living?
A) A model of care for the elderly or disabled that includes services such as home care to maintain the independence of clients
B) Coordination of a plan or process to bring home health services together as a common whole in a cost-effective way
C) The condition where a client cannot leave his or her home without taxing effort
D) A home health agency that is not freestanding in the community is one of many specialty services offered at an independent setting.

 

 

2. You are preparing a presentation on care management for a group of student nurses. Based on your knowledge of community health nursing, what will be a key point to include in this presentation about care management?
A) Development and coordination of care for a selected client and family
B) Management of health care that occurs in the setting clients considers their home
C) Sharing of evidenced-based practice and skills as an integration strategy with clients and families in homes and other health care settings
D) Coordination of a plan or process to bring health services together as a common whole in a cost-effective way

 

 

3. You are reviewing the similarities and differences between case management and care management. Using your knowledge that case management involves an intensive process called disease management, at what levels does disease management emphasize prevention using evidence-based practice guidelines?

1. Primary

2. Secondary

3. Tertiary

A) 1, 2
B) 1, 3
C) 2, 3
D) 1, 2, 3

 

 

4. Your research reveals that care management is related to case management. Using your knowledge about case management, care management, and disease management, what is correct about the building blocks of these key concepts?
A) Care management can be considered a building block of case management.
B) Case management can be considered a building block of care management.
C) Disease management can be considered a building block of care management.
D) Disease management can be considered a building block of case management.

 

 

5. Your presentation to the student nurses includes information about practice models and disease management programs. Using your knowledge about disease management programs, what is the best practice model?
A) Collaborative
B) SMART
C) Force field
D) Logic

 

 

6. The community health nurse is reviewing ideal candidates for home health care. Using your knowledge about home health care, which of the following individuals are candidates?

1. People with acute illness

2. People with chronic illness

3. Individuals with a new health-related situation

A) 2
B) 1, 2
C) 1, 3
D) 1, 2, 3

 

 

7. You know that because of the variety of reimbursement mechanisms that have evolved over time in home health care, many different forms of services have evolved based on levels of philanthropy; profit-making needs; and federal, state, and city funding. Using your knowledge about types of agencies, what is a home health agency that is motivated by a not-for-profit philosophy called?
A) Private/voluntary
B) Hospital based
C) Proprietary
D) Official

 

 

8. You know that because of the variety of reimbursement mechanisms that have evolved over time in home health care, many different forms of services have evolved based on levels of philanthropy; profit-making needs; and federal, state, and city funding. Using your knowledge about types of agencies, what is a home health agency that is motivated by a for-profit philosophy called?
A) Private/voluntary
B) Hospital based
C) Proprietary
D) Official

 

 

9. You know that because of the variety of reimbursement mechanisms that have evolved over time in home health care, many different forms of services have evolved based on levels of philanthropy; profit-making needs; and federal, state, and city funding. Using your knowledge about types of agencies, what type of agency can be profit or nonprofit?
A) Private/voluntary
B) Hospital based
C) Proprietary
D) Official

 

 

10. You are taking care of a dependent family member whose husband is in the military. Using your knowledge of financing and the regulation of home care, what government funding is most likely going to be used for home health care services?
A) Medicare
B) Medicaid
C) TRICARE
D) Veterans Administration

 

 

11. You are reviewing the regulations for home health care. Using your knowledge of home health care, who regulates the provisions of home health care?

1. Insurance companies

2. Local government

3. State government

4. Federal government

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

12. You know that home health agencies are certified through a process where stipulated conditions must be present in order for the agency to give services to the public and receive payment for those services. Using your knowledge about financing, what criteria an individual has to meet in order to receive Medicare for home health services?

1. Home bound

2. Specific plan of care

3. Skilled health care needs

4. Intermittent care needs

5. Continuous 24-hour necessity for care

A) 1, 2, 3, 4
B) 1, 3, 4, 5
C) 2, 3, 4, 5
D) 1, 2, 3, 5

 

 

13. You know that home health agencies are certified through a process where stipulated conditions must be present in order for the agency to give services to the public and receive payment for those services. Using your knowledge about financing, what are the criteria of providing care over several hours during the day, several days during the week, for a specified time period called?
A) Specific plan of care
B) Skilled health care needs
C) Intermittent care needs
D) Continuous necessity for care

 

 

14. You know that home health agencies are certified through a process where stipulated conditions must be present in order for the agency to give services to the public and receive payment for those services. Your patient wants to know how long Medicare will pay for skilled needs. Using your knowledge about financing, what specific time period is appropriate for renewals if skilled needs continue to exist?
A) 30 days
B) 45 days
C) 60 days
D) 90 days

 

 

15. You are reviewing the official document called the Scope and Standards of Home Health Nursing Practice. Using your knowledge about the document providing guidelines for nurses involved in home health care practice, what is included in the standards of care?

1. Assessment by collecting data about home care clients

2. Diagnosis through the analysis of data

3. Outcome identification that helps identify nurse-sensitive measures

4. Planning nurse-sensitive interventions directed at the identified outcomes

5. Implementation of nurse-centered actions in collaboration with physicians

A) 1, 2, 4, 5
B) 1, 2, 3, 4
C) 1, 3, 4, 5
D) 2, 3, 4, 5

 

 

16. You are observing the home health nurse using telehealth technology. Using your knowledge that telehealth is a form of electronic communication, what is telehealth used to deliver?

1. Chronic care and specialty consultations

2. Home telenursing

3. Electronic referrals to specialists in expert health facilities

4. Transmit health care information to people in the same geographical area

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

17. You work as a parish/faith community nurse. Using your knowledge of the parish or faith community nurse, what are key roles of this type of nurse?

1. Health educator

2. Personal health counselor

3. Referral agent

4. Coordinator of volunteers

5. Health advocate

A) 1, 2, 3, 4
B) 2, 3, 4, 5
C) 1, 3, 4, 5
D) 1, 2, 3, 4, 5

 

 

18. The community health nurse can receive a referral to a home health agency at any time. Using your knowledge of home visits, generally home care agencies make sure to do the initial visit within what time frame after receiving a referral?
A) 12 hours
B) 24 hours
C) 36 hours
D) 48 hours

 

 

19. The community health nurse can receive a referral to a home health agency at any time. Using your knowledge of home visits, what phases are included in a home visit?

1. Initiating a visit

2. Preparation

3. Actual visit

4. Termination of the visit

5. Plan personal safety of visit

A) 1, 2, 3, 4
B) 2, 3, 4, 5
C) 1, 3, 4, 5
D) 1, 2, 3, 4, 5

 

 

20. You know that falls are a major health problem in the home. One third of older adults fall every year with serious consequences that include death, fractures, and head injuries. The home health nurse has to ensure that a safety plan is in place to address falls. Using your knowledge that 55% of fall-related injuries occur with falls inside the home, a total of over 60% of these falls occur in which two rooms?
A) Living room and hallway
B) Kitchen and bathroom
C) Hallway and bedroom
D) Living room and bedroom

 

1. Violence against women is a form of gender-based violence that can result in physical, sexual, or psychological harm for not only the direct victims but also their dependents. What is gender-based violence?
A) A homicide that occurs in the context of intimate partner violence (IPV)
B) Violence that targets people or groups of people on the basis of their gender from other forms of violence
C) A pattern of assaultive and coercive behaviors
D) Carried out by a person or persons against another person or persons when there is a conscious choice to act in a violent manner

 

 

2. Intimate partner violence fundamentally is based in the desire for control on the part of the perpetrator. What is a relationship risk factor for intimate partner violence?
A) Emotional dependence and insecurity
B) Belief in strict gender roles
C) Desire for power and control
D) Unhealthy family relationships and interactions

 

 

3. Intimate partner violence fundamentally is based in the desire for control on the part of the perpetrator. What is a societal risk factor for intimate partner violence?
A) Low social capital and norms that shape a community’s social interactions
B) Weak community sanctions against intimate partner violence
C) Poverty and associated factors such as overcrowding
D) Traditional gender roles

 

 

4. It is frightening to consider just how many children may be exposed to intimate partner violence.  One of the first studies to look at the incidence and prevalence of children exposed to intimate partner violence estimated how many millions of children were witnesses to family violence each year?
A) 1 to 2
B) 3 to 5
C) 3 to10
D) 5 to 10

 

 

5. Pediatric providers face special issues in screening for intimate partner violence. What is a creative strategy to address this screening issue?
A) Asking mothers directly with the child present
B) Asking mothers directly with a written questionnaire or computer survey
C) Being able to screen for safety and dangerousness of the situation
D) Having providers inform parents about mandatory reporting law after asking questions

 

 

6. The RN is completing a lethality assessment. What are examples of lethality risk questions?

1. Is there a gun in the house?

2. Is the woman in the household unemployed?

3. Has the woman’s partner ever been arrested?

4. What is the worst “thing” the partner has ever done to the victim?

5. Does the victim feel that the partner is capable of hurting her?

A) 1, 2, 3, 4
B) 2, 3, 4, 5
C) 1, 3, 4, 5
D) 1, 2, 3, 5

 

 

7. Thinking about the root causes of violence helps nurses develop prevention strategies for violence. What is an example of tertiary prevention strategy?
A) Raising awareness about violence
B) At risk for being abused
C) At risk for perpetrating abuse
D) Identified victim or perpetrator

 

 

8. What are risk factors that indicate significant concern for the safety of children?

1.  Threats to kill the caretaker, children, and/or self; caretaker fears for the children’s safety.

2.  A child was psychologically injured in an incident where the caretaker was the target.

3.  A child was coerced to participate in or witness the abuse of the caretaker.

4.  A weapon was used or threats to use a weapon were made, and the caretaker believed that there was intention and ability to cause harm.

A) 1, 2, 3
B) 1, 3, 4
C) 2, 3, 4
D) 1, 2, 4

 

 

9. What is a consideration when making a mandatory report?
A) Tell the child about the possibility of filing a mandatory report.
B) Determine whether it will be safe to inform the child about the report.
C) Ask about the child’s incidence of using drugs.
D) Share concerns of safety with the local police department.

 

 

10. There are the health consequences of violence. Who is in a pivotal role in recognizing both children being victimized and children perpetrating violence?
A) Primary care provider
B) School psychologist
C) School nurse
D) Teacher

 

 

11. Investigators conducting population-based studies in the United States over the past several years have consistently reported a lifetime prevalence of IPV against women to be what percentage?
A) 10 to14
B) 15 to19
C) 20 to 24
D) 25 to 30

 

 

12. Women victimized by abuse are more likely to be diagnosed with serious health problems. What is a common serious health problem these women are diagnosed with?
A) Neuromuscular problems
B) Diabetes
C) Acute unexplained pain
D) High blood pressure

 

 

13. Decades of research have indicated that some women have a higher risk of intimate partner violence. What is a risk factor?
A) Older than 45 years
B) Education at associate degree level
C) Recent separation or divorce
D) Having teenage children

 

 

14. Safety assessment and planning in intimate partner violence involves nurse suggestions and client choices. What are components for safety planning?

1. Crisis/disaster plan

2. A place to go

3. How to get to the place identified

4. Argument occurs at home, the woman should immediately go to the kitchen

A) 1, 2, 3
B) 1, 3, 4
C) 2, 3, 4
D) 1, 2, 4

 

 

15. When any health care provider suspects that abuse of an individual has occurred, the health care provider is mandated to report the abuse to the appropriate agency. Which individuals must be reported to the appropriate agency?

1. Child

2. Person with a disability

3. Adult with young children

4. Elderly

A) 1, 2, 3
B) 1, 3, 4
C) 2, 3, 4
D) 1, 2, 4

 

 

16. Violence against women is a form of gender-based violence that can result in physical, sexual, or psychological harm for not only the direct victims but also their dependents. What is femicide?
A) A homicide that occurs in the context of intimate partner violence (IPV)
B) Violence that targets people or groups of people on the basis of their gender from other forms of violence
C) A pattern of assaultive and coercive behaviors
D) Carried out by a person or persons against another person or persons when there is a conscious choice to act in a violent manner

 

 

17. Intimate partner violence is a pattern of assaultive and coercive behaviors. What is an assaultive and coercive behavior that can occur?

1. Emotional injury

2. Sexual assault

3. Progressive social interaction

4. Physical injury

A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4

 

 

18. Healthy People 2020 have targeted injury and violence prevention as a priority. What does the injury prevention objectives of Healthy People 2020 include?
A) Prevention of drug-related deaths
B) Identification of improper household chemical storage in homes
C) Decreased incidents of homicide, child maltreatment, and physical assaults
D) Prevention of alcohol possession by adolescents on school property

 

 

19. There is an increase trend of violent deaths in children. Homicide is what number leading cause of death in children aged between 5 and 14 years?
A) First
B) Second
C) Third
D) Fourth

 

 

20. What percentage of all public schools experience one or more serious violent crimes such as rape, sexual assault, robbery, and aggravated assault?
A) 15
B) 20
C) 25
D) 30

 

 

1. You are working as a public health nurse in New England during the winter months. An ice storm cripples the city and electrical outages affect the power grid. Trees and frozen wires are down throughout the city and the timeline for restoration of power is 7 to 10 days. You expect the management team to classify this occurrence as a(n) _________ according to established guidelines.
A) emergency
B) natural disaster
C) terrorism
D) accidental disaster

 

 

2. The national weather service warns of an impending ice storm that may have crippling effects on the community. Widespread electrical outages are predicted as well as freezing temperatures. The community health nurses are mobilized to establish emergency living quarters and clinics for those without heat.  The impending crisis will affect the health and well-being of the community and the community responses are considered the ______ phase of disaster management.
A) impact
B) postimpact
C) preimpact
D) preparation

 

 

3. Your management team is in the process of identification of hazards associated with the ice storm that is expected to disable electrical service to the city. To identify the areas most vulnerable to damage and plan for an effective response, which of the following methods of data collection may be used? (select all that apply)
A) Geographic information
B) Satellite imagery
C) Census data
D) Historical data on previous events
E) Planning board declarations

 

 

4. Five weeks after a category 4 hurricane, a town in southern Louisiana continues to battle for survival. The flood waters have now receded.  You are part of the disaster recovery team. Epidemiologic analysis of this town includes factors that influence the health status of this community. Which of the following may be included in the epidemiologic analysis report? (select all that apply)
A) Continuing death
B) Population shift
C) Contamination of water supplies
D) Limited access to places of worship
E) Collapse of access to health care

 

 

5. Response to a disaster is in its final phase. Although still in the recovery phase of the response, an evaluation meeting is arranged. The purpose of the evaluation meeting is to
A) analyze the strengths and weaknesses of the response and submit a plan to improve response in the future.
B) create a report that exemplifies the cohesiveness of the departmental response to the disaster.
C) analyze the effectiveness of the disaster relief teams from respondent states.
D) create a postdisaster report for FEMA.

 

 

6. A tornado touched down in the city where you are employed as a public health nurse. As a member of the disaster management team, your role includes which of the following? (select all that apply)
A) Search and rescue
B) Clinical assessment and triage
C) Providing health education
D) Hazardous materials management

 

 

7. You are a member of the Emergency and Disaster Preparedness Committee for your organization.  Your role is to head the Data Collection subcommittee. What are the key areas that would be included in your plan?
A) Morbidity, mortality, mental health, and infectious disease
B) Morbidity, mortality, displacement, and community infrastructure
C) Morbidity, mortality, mental health, and chronic illness
D) Morbidity, mortality, displacement, and healthcare workers

 

 

8. You are a public health nurse and a first responder in a community disaster, secondary to a flood. One section of the town has experienced a loss of water and electricity for 4 days. What actions would you take to meet the needs of the community at this time?
A) Refer the members of the community to a spiritual outreach program.
B) Provide access to safe food and water.
C) Inform the fire department of potential risks within the community setting.
D) Provide an immunization program.

 

 

9. The informal partnerships that the public health nurses have in the community have the potential to play an important part in recognizing diseases caused by bioterrorist agents because
A) the nurse will recognize changes within the community setting.
B) the members of the community will comfortably report suspicious behaviors.
C) the partnerships discourage terrorist activities.
D) the partnerships contribute to and are essential for disease surveillance.

 

 

10. One of the disadvantages of JITT training for nurses is encountered when disasters occur in real time. The public health nurse
A) may feel unprepared for the disaster and subsequently fail to provide care.
B) may fear that he or she does not possess the necessary skills to function in a disaster.
C) may not be notified that they are needed in a timely manner.
D) may not be a viable resource for the emergency team.

 

 

11. You are responsible for triage in a setting where a natural disaster has occurred. The triage is expected to last for an extended period of time. Which triage model would be most effective in this scenario?
A) Simple triage and Rapid treatment (START)
B) Prehospital triage
C) JumpSTART triage
D) Start/Save triage

 

 

12. After a hurricane, you are placed on a planning committee to meet the direct needs of the committee. Most of the clean-up and rescue work has been completed and several members of the community are living in shelters and are homeless. One of the foremost priorities of your committees is to establish which of the following?
A) Ecumenical centers for long-term worship
B) Home repair resources
C) POD emergency supply centers
D) Financial aid centers

 

 

13. To prepare disaster workers, including public health nurses, in the use of PPEs to address specific hazards the public health nurse will
A) use JITT videos.
B) use on-site trainers provided by the Armed Forces.
C) rely on annual training provided by the various hospitals.
D) understand that disaster workers will know which PPEs to use.

 

 

14. You are a member of the nursing team caring for victims of a possible anthrax “white powder” investigation. As the nurse scribe, information that you document will include (select all that apply)
A) the same information that you would document for any client assessment.
B) time and place.
C) name of the Incident Commander.
D) general assessment of the field.
E) vital signs only.

 

 

15. You are notified that a possible anthrax exposure occurred at the local military base. Civilian workers are routed to the local hospital’s emergency department. Your responsibility is to set up PODs in the community. The function of the PODs in response to the anthrax exposure is to
A) distribute decontaminated food.
B) administer prophylactic medications.
C) distribute decontaminated water.
D) provide triage.

 

 

16. As a member of a disaster team, you respond to a confirmed outbreak of the plague. You understand that the pneumonic plague has a high mortality rate. The decision to meet the needs of the public on a wide scale includes which of the following?
A) Administration of antibiotics via PODs
B) Administration of antivirals via PODs
C) Door-to-door visits to administer preventative medication
D) Isolating designated hospitals to prevent spread of the plague

 

 

17. You are a member of a disaster team responding to a chemical disaster. You assess the clients in a systematic fashion concentrating on their ability to breathe. When entering the evacuation site, prior to your physical assessment, you should
A) don PPEs.
B) interview the client.
C) report to the “hotzone.”
D) request HAZMAT to witness client assessment.

 

 

18. You are a community health nurse working in a receiving station after a radiological disaster. You are wearing the requisite PPEs and note that the majority of the victims have blast injuries. A volunteer worker reports that many of the victims have dust on their clothes. Your response to the dust is to
A) recognize that the dust is common with blast injuries.
B) consider it radioactively contaminated and notify HAZMAT.
C) consider the dust a biological agent and therefore a contaminant.
D) flush all wounds to prevent chemical contamination.

 

 

19. You are appointed to be a member of the risk communication team during a disaster response situation. During an evacuation, you are informed that an increasing number of individuals are reluctant to leave their homes. In order to complete an orderly evacuation, it is necessary to
A) involve the armed forces.
B) declare martial law.
C) create an environment of trust and credibility.
D) disseminate information regarding the necessity of the evacuation.

 

 

20. The disaster is over and your team prepares to return to normal operations. Prior to disbandment of the team it is essential to create a safe environment for the staff. The staff will participate in a
A) critical incident stress debriefing.
B) support group to foster recovery.
C) information debriefing for prevention purposes.
D) interrogation process to identify unsafe behaviors.