Community Health -NCLEX Questions

Community Health -NCLEX Questions

The three components of the Intervention Wheel are:

• Communities, systems, and individuals/families.
• Interventions, color wedges, and levels of practice.
• Population base, levels of practice, and public health interventions.
• Populations at risk, populations of interest, and levels of practice. - C

Public health nursing practice is guided by the community's priorities as identified by

community:

• Assessment.
• Diagnosis.
• Interventions.
• Planning. - A

Collaboration is an intervention that would be located where in the Intervention Wheel?

• Red wedge at the individual/family level of practice.
• Blue wedge at the community level of practice.
• Orange wedge at the community level of practice.
• Green wedge at the systems level of practice. - C

The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors,

and practices of the population of interest is referred to as:

• Advocacy.
• Coalition building.
• Consultation.
• Social marketing. - D

Promotion of the creation of immunization registries that combine immunization information from different sources into a single electronic record to provide official immunization records for schools, daycare centers, health departments, and clinics is a

goal of:

• Community-level practice.
• Family-level practice.
• Individual-level practice.
• Systems-level practice. - D

When confirmed cases of the mumps, a vaccine-preventable disease, emerged on college campuses in fall 2006, public health nurses conducted outreach at campuses and collaborated with student health officials to increase the number of students with full

immunization compliance. This is an example of:

• Community-level practice.
• Family-level practice.
• Individual-level practice.
• Systems-level practice. - A 1 / 3

A nursing diagnosis of Increased risk for delayed development, injury, and disease because of inadequate parenting by a primary parent experiencing depression would most likely indicate that the nursing process is being applied at the _______ level of practice and the _______ level of prevention.

• Individual/family + secondary.
• Community + primary.
• Community + secondary.
• Individual/family + primary. - A

After consulting with the health department director, a public health nurse collaborates with a housing advocate service and legal counsel on behalf of the nurse's clients who live in substandard housing under fear of eviction. The nurse is applying the _______ component of the nursing process to a _______ level of practice.

• Evaluation + systems.
• Assessment + community.
• Implementation + systems.
• Diagnosis + community. - C

A community-level intervention designed to increase the sense of belonging among older community residents at risk for social isolation was implemented by opening a senior center every other Wednesday at a local church that provided lunch and social programs. At the end of 6 months, the attendees were surveyed to determine their experience with the program, barriers to attendance, expansion of their social networks, and involvement in other community activities. This survey allowed the community health nurse to _______ the program and design program improvements.

• Evaluate the effectiveness of.
• Assess the expansion needs of.
• Identify problems with
• Implement the expansion of. - A

Factors related to the determinants of health identified in Healthy People 2020 include which of the following (select all that apply)?

• Education and literacy.
• Genetic endowment.
• Gender.
• Culture.
• Social status. - A,B,C,D,E

A nurse identifies higher-than-normal levels of lead when screening a 3-year-old child.The nurse works with the local health department to put together a team to address the environmental issues responsible for the child's abnormal lead level. Team members

should include the following specialists:

• Epidemiologist, pediatric specialist, and sanitarian.
• Laboratory specialist, contractor whose bid for lead reduction work is the lowest, and

public health lead reduction specialist. 2 / 3

• Public health sanitarian, pediatric generalist, and plumbing inspector.
• Specially trained housing inspector, pediatric specialist, lead-based paint intervention

team, and laboratory specialists to test the child's home and the surrounding neighborhood. - D An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and

forearms. The nurse's priorities should be to:

• Contact factory senior management, educate workers about their exposure, and

clean the area.

• Contact the Occupational Safety and Health Administration immediately and remove

the offending chemical in the work environment.

• Immediately evacuate the worker's nearby workspace and treat the worker and other

exposed workers.

• Treat the client and obtain a comprehensive exposure history; if an onsite

environmental exposure is suspected as the cause, screen other at-risk workers and ensure that the environmental risk is identified and eliminated. - D A college health nurse is working with students, faculty, and staff to improve environmental air quality. To address the primary cause of air pollution on campus, the nurse plans a precautionary intervention. Which of the following interventions best demonstrates an appropriate approach?

• Encourage the use of electric cars and scooters on campus.
• Increase the use of bicycles, foot-powered scooters, rollerblades, and walking as the

primary mode of transportation on campus.

• Make the entire campus a no-smoking zone.
• Establish a policy to reduce electricity consumption in university buildings by raising

the thermostat to 78 degrees in the summer and lowering the thermostat to 70 degrees in the winter. - B Campaigns to decrease the inequitable burden of environmental risks on the poor and

people of color in the United States strive to apply the ethical principle of:

• Societal justice.
• Nonmaleficence.
• Compliance and enforcement of the Environmental Protection Agency Regulatory

Act.

• Environmental justice. - D

A community health nurse manager has integrated exposure history elements into the assessment practices of the health department that are relevant to the urban industrial community served. This strategy indicates that the nurse manager is aware of the

relationship between:

• Community strengths and weaknesses.
• Environment and human health/disease.
• Toxicology studies conducted by the Environmental Protection Agency and the

environment.

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