NMNC 1220 Combined Sets Actual Exam Questions with

pg. 1 NMNC 1220 Combined Sets/ Actual Exam Questions with Correct Verified Answers/ Updated – Rated A+

Which term best describes the concept of the health outcomes of a defined group of people along with the distribution of health outcomes within that group?

• public health
• Community health
• Population health
• Health equity - ANSWER – c

When applying the nursing process to environmental health, the community health nurse would examine criteria that include the immediate and long-term responses of the client to the planned interventions. Another important factor to consider in the evaluation process would be:

• recidivism of the problem for the client.
• consideration of community policy and laws.
• relationship between the disease and the environmental factors.
• coordination of actions to meet the client's needs. - ANSWER - a

A nurse in community health may have state-granted personal immunity for particular practice areas such as giving immunizations. If the state legislature has granted personal immunity to nurses employed by public agencies to cover all aspects of their practice, the legal theory that applies is:

• case law.
• respondeat superior.
• sovereign immunity.
• worker's right to know. - ANSWER - c 1 / 4

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A nurse in community health that speaks out in a public hearing in support of changes to existing requirements for reporting any long-term effects of structural or organizational changes within the

community's health care organizations would be demonstrating:

• legislative action.
• health policy.
• regulatory action.
• regulatory monitoring. - ANSWER - b

A community-oriented nurse is interested in studying the hospital discharge data for facilities that typically provide services to members of the community where the nurse practices. The nurse accesses the National Hospital Discharge Survey database of the Department of Health and Human Services (DHHS) to identify data at national, regional, and local levels for comparison purposes. The government

health care function being used by the nurse is:

• direct services.
• financing.
• information.
• policy setting. - ANSWER - c

When final health care-related regulations are published, they often lead to changes in practice. After a period of draft review, public comment/hearing, further study if necessary, and then final redrafting, the regulations at both federal and state levels carry the weight of law and are published in the:

• ANA Code of Conduct.
• Code of Regulations.
• Patient Safety Act of 1997.
• Interstate Nurse Licensure Compact. - ANSWER – b

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pg. 3 A community health nurse is working in a clinic with a focus on asthma and allergies. What is the primary focus of the community health nurse in this clinic setting? (Select all that apply.)

• Decrease the incidence of asthma attacks in the community
• Increase patients' ability to self-manage their asthma
• Treat acute asthma in the hospital
• Provide asthma education programs for the teachers in the local schools
• Provide scheduled immunizations to people who come to the clinic - ANSWER - 1,2,4

The nurse caring for a refugee community identifies that the children are under vaccinated and the community is unaware of resources. The nurse assesses the community and determines that there is a health clinic within a 5-mile radius. The nurse meets with the community leaders and explains the need for immunizations, the location of the clinic, and the process of accessing health care resources. Which of the following practices is the nurse providing? (Select all that apply.)

• Raising awareness about community resources for the children
• Teaching the community about health promotion and illness prevention
• Promoting autonomy in decision making about health practices
• Improving the health care of the community's children
• Participating in professional development activities to maintain nursing competency - ANSWER - 1,2,4

What factor results in vulnerable populations being more likely to develop health problems?

• The ability to use available resources to find housing
• Adequate transportation to the grocery store and community clinics
• Availability of others to help provide care
• Limited access to health care services - ANSWER - 4

A community health nurse conducts a community assessment focused on adolescent health behaviors.The nurse determines that a large number of adolescents’ smoke. Designing a smoking cessation program at the youth community center is an example of which nursing role? 3 / 4

pg. 4

• Educator
• Counselor
• Collaborator
• Case manager - ANSWER - 2

A nurse in a community health clinic reviews screening results from students in a local high school during the most recent academic year. The nurse discovers a 10% increase in the number of positive tuberculosis (TB) skin tests when comparing these numbers to the previous year. The nurse contacts the school nurse and the director of the health department. Together they begin to expand their assessment to all students and employees of the school district. The community nurse was acting in which nursing role(s)? (Select all that apply.)

• Epidemiologist
• Counselor
• Collaborator
• Case manager
• Caregiver - ANSWER - 1,3

Several community-oriented nurses want to explore the problem of obesity in school-age children and assess their community school district health status related to that problem. When gathering

information at a national level, they would begin with the:

• Centers for Disease Control and Prevention (CDC).
• Centers for Medicare and Medicaid Services (CMS).
• Health Resources and Services Administration (HRSA).
• National Institute of Nursing Research (NINR). - ANSWER - a

A nursing student is giving a presentation to a group of other nursing students about the needs of patients with mental illnesses in the community. Which statement by the student indicates that the nursing professor needs to provide further teaching?

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