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Which of the following best describes when the home health nurse must document required Outcome and Assessment Information Set (OASIS-C1) data? Select all that apply
A. Before any episode of hospitalization
B. After each home health visit
C. For all incidences of error or mistakes in care
D. On first admission to home health care
E. Beginning of every episode of care
ANS: D, E
Nurses are designing a health education program for the community. What action should they take first?
A. Write specific outcomes
B. Assess the community
C. Select teaching strategies
D. Prioritize learning needs
ANS: B
Which component of population nursing diagnosis is missing from the following diagnosis?
Fetuses of pregnant women living in Miami-Dade County related to infestation of Aedes aegypti and Aedes albopictus (types of mosquitos) as evidenced by 69 pregnant women infected with Zika virus in the state of Florida (Florida Department of Health, 2016) and reported local spread of Zika virus in the areas of Wynwood and South Miami Beach (CDC, 2016).
A. Risk the population is facing
B. Population at risk
C. Evidence supporting the assessment
D. Factors contributing to increased/decreased risk
ANS: A
Which one of the following is a behavioral determinant of health?
A. Available transportation system
B. Exercise habits
C. Access to healthy food
D. Diabetes status of the parents' generation
ANS: B
You are a public health nurse at a county health department prenatal care clinic. You are working with pregnant women to increase breastfeeding rates by providing breastfeeding teaching sessions.
Which one of the following is the best SMART objective?
A. 60% of women demonstrate a correct breastfeeding technique using a baby doll by the end of the teaching sessions.
B. 100% of women demonstrate a correct breastfeeding technique using a baby doll.
C. 60% of women understand a correct breastfeeding technique using a baby doll by the end of the teaching sessions.
D. 50% of women verbalize the benefits of bottle feeding.
ANS: A
Choose the best answer to fill in the blank. ___________ is the logical decision-making process used to design an orderly, detailed series of actions for accomplishing specific goals and objectives.
A. Diagnosis
B. Implementation
C. Evaluation
D. Planning
ANS: D
A group of nursing students teach school-age children about a proper handwashing technique. Please match the type of evaluation with specific evaluation questions.
- 1. Outcome (summative) evaluation
- 2. Process (formative) evaluation
A. What percentage of children demonstrated the proper handwashing technique at the end of the intervention?
B. Did all the children receive the intervention with a planned timeframe?
ANS: 1A 2B
Which of the following is the correct population nursing diagnosis?
A. Motorcycle riders in Florida at risk for injuries related to the repeal of the universal helmet law as evidenced by more than 40% increase in motorcycle crash-related hospitalizations following the law's repeal (National Highway Traffic Safety Administration, 2012).
B. Motorcycle riders in Florida at risk for injuries related to the repeal of the universal helmet law as evidenced by more than 40% decrease in motorcycle crash-related hospitalizations following the law's repeal (National Highway Traffic Safety Administration, 2012).
C. Motorcycle riders in Florida at risk for injuries as evidenced by more than 40% increase in motorcycle crash-related hospitalizations following the law's repeal (National Highway Traffic Safety Administration, 2012).
ANS: A
Under the dimension of community as a client, _______refers to the ability of a community to function effectively.
A. Status
B. Structure
C. Process
D. Outcome
ANS: C
Which of the following correctly describes quantitative secondary data ?
A. I conducted a windshield survey and wrote descriptions based on my assessment.
B. I used data available through the CDC's website about diabetes rates among adolescents.
C. I referred to the data analysis report from focus groups that my professor conducted. The data were transcribed verbatim and analyzed using a grounded theory method.
D. I conducted a survey to find out how many people in the community have diabetes.
ANS: B
Fill in the blank: _____________ is about observing the community of interest by car or on foot to learn about the environment that community members live in. It is considered a great way to learn about the community and is often used as a tool of initial community assessment.
A. GIS
B. Vital statistics
C. Asset mapping
D. Windshield survey
ANS: D
Which of the following is NOT a component of the logic model?
A. Activities
B. Outcomes
C. Goals
D. Inputs
ANS: C
Fill in the blank with the best answer: One Tiny Reason to Quit is an example of successful ______________ campaign aimed to reduce infant mortality rate through smoking cessation. It promotes calls to a free, evidence-based, smoking cessation counseling line (1-800-QUIT-NOW) through social networking sites, mass media, and posters and flyers throughout the community.
A. Social media
B. Social marketing
C. Health promotion
D. Logic model
ANS: B
Fill in the blank: ______________ is part of the broader quality management program and are used to determine goal achievement.
A. Benchmarking
B. Quality indicator
C. Logic model
D. Social marketing
ANS: B
Choose the best answer to fill in the blank: _________ factors are antecedents to behavior that provide a rationale for the behavior.
A. Reinforcing
B. Changeable
C. Enabling
D. Predisposing
ANS: D
When a nurse is evaluating the components of an educational program, the nurse is completing a(n):
A. Education Evaluation
B. Outcome (Summative) Evaluation
C. Process (Formative) Evaluation
D. Ongoing Evaluation
ANS: C
Match the following examples with the appropriate terminology.
- 1. Goal
- 2. Outcome SMART objective
- 3. Process SMART objective
A. To reduce teen pregnancy in Homestead
B. There will be 30% reduction in Homestead's teen pregnancy rate by December 2020.
C. 70% of the participants in Homestead's "prevent teen pregnancy" program will complete all of the educational sessions by June 2020.
1A, 2B, 3C
Nurse researchers are collaborating with community organizations and planning to apply for ______ so that they can execute a program to reduce sexual violence in Miami-Dade County.
A. a grant
B. a scholarship
C. a research project
D. a social media campaign
ANS: A
When a health promotion program aims to change behaviors, public health nurses need to consider factors related to changeability. Which of the following behaviors/perceptions is least difficult to change?
A. School lunches offer variety of high fat, high salt, and high calorie food.
B. Children cannot play outside because of unsafe neighborhoods.
C. Children are still building their eating habits.
D. Jeanne's culture views chubby children as healthier.
ANS: C
In a logic model about a smoking cessation program, "train 10 facilitators to deliver the classroom component of the program" would be an example of
A. Inputs
B. Activities
C. Outputs
D. Outcomes
E. Goals
ANS: B
Which one of the following is the best example of a SMART objective to evaluate a program's process to reduce unintended pregnancy in Richmond?
A. 30% of participants will verbalize 3 techniques they plan to use to avoid unintended pregnancy.
B. There will be 30% decrease in Richmond's unintended pregnancy rate by December 2020.
C. 30% of heterosexual couples in Richmond will attend a class about family planning by January 2021.
D. 30% of heterosexual couples in Richmond will exercise at least 3 times a week by December 2020.
ANS: C
What knowledge and skills are required in order to become a competent case manager? Select all that apply.
A. Knowledge of community resources
B. Skill to draw blood from an arterial line
C. Application of evidence-based practices and outcomes measurements
D. Excellent foley catheter insertion skill
E. Skill to educate and empower clients
ANS: A, C, E
A nurse must initiate nursing services in the home setting. Which is an important factor that the nurse must consider to ensure third-party reimbursement?
A. The home location is safe for nurses to visit.
B. The patient must be able to perform some self-care.
C. The family has the financial resources to pay for the care.
D. Nursing services must be ordered by a provider with a license to prescribe.
ANS: D
A nurse has referred a home care client to hospice care. Which of the following best explains the rationale for this referral?
A. To provide care for terminally ill clients expected to live longer than half a year
B. To provide comfort and symptom management for dying clients
C. To reduce the cost of care for the terminally ill
D. To keep clients at home until the end of life
ANS: B
Which one of the following is a strategy to protect personal safety for home health nurses?
A. Visit without calling the patient ahead of time
B. Leave your wallet in the backseat of the car
C. Keep one arm free while walking to and from the patient's home
D. Make detours when going to the patient's home
ANS: C
A nurse is providing a skilled nursing service. Which of the following best describes the intervention the nurse is performing?
A. Coordinating services for maximum benefit at minimal cost
B. Organizing an interdisciplinary meeting
C. Assisting the client to move from bed to bathroom
D. Teaching the client and family about intravenous medication administration
ANS: D
14. Which one of the following is NOT likely to get case management services?
A. High risk for hospital re-admission
B. Complex health needs
C. Potential for costly use of health care
D. Acute and communicable diseases
ANS: D
Which of the following is a primary requirement for a client to be eligible for home health nursing and Medicare reimbursement of services?
A. Must be homebound
B. Must be living in a medically underserved area
C. Must be older than 75
D. Must be insured or eligible for Medicaid
ANS: A
Which one of the following does a home health nurse do BEFORE first visiting a client's home?
A. Review client's medical record
B. Perform nursing interventions
C. Set mutual goals
D. Evaluate the home visit outcomes
ANS: A
A family member asks a home health nurse to explain the concept of hospice care. Which of the following would the nurse need to include as the fundamental underlying philosophy of hospice?
A. Ensuring that the client's living will is upheld
B. Placing experts in the position of power of attorney
C. Providing comfort measures before death
D. Providing symptom management while offering treatment for cure
ANS: C
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