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In the US in 2011, there were 4.04 deaths of infants who were less than 28 days old for every 1000 live births. This is an example of a/an:
Crude infant mortality rate
Post neonatal mortality rate
Infant mortality rate
Neonatal mortality rate
Neonatal mortality rate
Which genomics-related activity should be considered the first priority for a county health department's nursing director?
Develop an awareness campaign for the community promoting the availability of over-the-counter tests for genetic disorders
Educate the health department's nursing staff regarding how genomics can be used to address public health problems
Plan a community wide screening for genetic susceptibility using pedigrees
Wait until more is known about genomics before implementing any programs
Educate the health department's nursing staff regarding how genomics can be used to address public health problems
The incidence of diabetes in a local high school was climbing. In response, the school nurse established educational programs on diabetes risk factors and good nutrition. The nurse will know if the programs are having any impact when the incidence of diabetes begins to decline. The incidence is the number of
Existing cases of diabetes mid-school year
Existing cases of diabetes at the beginning of the school year plus all new cases diagnosed during the school year
New cases of diabetes diagnosed within a given period of time, such as during a school year
The change in new cases of diabetes diagnosed from one year to the next
New cases of diabetes diagnosed within a given period of time, such as during a school year
A PHN is using the web of causation model when writing the grant for the program to screen a population of older adults for hearing loss. The web of causation model views hearing loss in older adults as the result of the
Relationship among host, agent, and environmental factors
Relationship among time, place, and person factors
Simultaneous action of separate factors that together produces a greater effect than the sum of their individual effects
Complex interrelationship of numerous factors interacting to increase or decrease risk
Complex interrelationship of numerous factors interacting to increase or decrease risk
Which health problem most clearly falls in the middle of the Gene-Environment spectrum of disease causation?
Lung Cancer
Cystic Fibrosis
Sickle-Cell Anemia
Gun shot wounds
Lung cancer
The age-adjusted death rate in the United States is 746.2 per 100,000 population. An age-adjusted rate is a rate computed
For the population as a whole
For a specific age group in a population
To remove the effect of age differences in a populations
To highlight the effects of age differences in a population
To remove the effect of age differences in a populations
In the movie Contagion, what Personal Protective Equipment was/should have been recommended and why?
N-95 masks or respirators, because MEV-1 was transmitted by aerosolized droplets
Surgical masks, because MEV-1 was transmitted by aerosolized droplets
Gown and gloves, because MEV-1 was transmitted by contact with fomites
Gown and gloves, because MEV-1 was transmitted by direct contact with body fluids
Hair net, because MEV-1 was transmitted by insect vectors
N-95 masks or respirators, because MEV-1 was transmitted by aerosolized droplets
Gown and gloves, because MEV-1 was transmitted by contact with fomites
Gown and gloves, because MEV-1 was transmitted by direct contact with body fluids
Hair net, because MEV-1 was transmitted by insect vectors
The nurse epidemiologist at the county health department has received 23 reports of university students experiencing rapid onset nausea, vomiting, and diarrhea. Each was seen in a local emergency department and treated for dehydration. In talking to the students, the nurse determines that 18 had attended the same graduation luncheon, 7 are in the same organic chemistry class, 4 are roommates, and 9 attended the same off campus party. What is the likely source of the outbreak?
Pancakes made with expired eggs that were cooked and eaten by the four roommates
Pasta salad served at the graduation luncheon
Keg of beer from the off campus party that the nine students drank from
Mysterious chemical from the organic chemistry class
Pasta salad served at the graduation luncheon
A nurse is planning presentations on coccidioidomycosis to target populations during this year's Valley Fever Awareness Week. A number of groups have requested a presentation. Considering known at-risk populations for the disease or its dissemination, which groups should be a priority (select all that apply)?
Pima County Master Gardener Program
Northwest Tucson Homeschoolers
The National Association of Women in Construction - Tucson
United Farmworkers Coalition
Mount Calvary Baptist Church
Pima County Master Gardener Program
The National Association of Women in Construction - Tucson
United Farmworkers Coalition
The nurse epidemiologist at the county health department has received several reports of individuals with mysterious rashes seeking care in the emergency department. In addition to the rash, some individuals have experienced high fevers or respiratory distress. The majority of cases have occurred in children. What action(s) should the nurse epidemiologist take next (select all that apply)?
Implement a public service announcement on local radio stations
Find out what else the sick have in common
Begin contact tracing
Contact nearby counties to see if they have had similar cases
Warn schools about serious and potentially contagious rash
Find out what else the sick have in common
Begin contact tracing
Contact nearby counties to see if they have had similar cases
New York has the highest incidence of malaria in the United States. A PHN working for the New York City Department of Health plans to develop a malaria awareness campaign in the community. Based on known risk factors, the population that should be targeted first is
First generation immigrants from Central and South America
Parents of children in a Medicaid-subsidized childcare center
Teens serving time in a juvenile detention center
Older adults receiving home health services through Medicare
First generation immigrants from Central and South America
Consider the Epidemiological Triangle in the context of the movie Contagion. Which of the following might be considered "hosts" according to the Epidemiological Triangle? Select All that Apply
Bats
Beth Emhoff
Fruit
Pigs
MEV-1
Bats
Beth Emhoff
Pigs
The PHN will include the reliability and validity of both the questionnaire and the audiometer in the grant. Reliability measures how well a tool
Differentiates between false-negatives and false-positives
Accurately identifies individuals who have hearing loss
Yields the same results even when administered by different screeners
Demonstrates both sensitivity and specificity
Yields the same results even when administered by different screeners
A recent study found that race was strongly associated with infant sleep-related deaths. The dependent variable in this study is
Infant sleep-related deaths
Race
Maternal age
Racial disparities
Infant sleep-related deaths
A PHN wants to determine the prevalence rate of AIDS among females over 21 years old in Tucson in 2015. In order to do so, they will need which of the following two statistics (select two)?
The total number of deaths related to AIDS among females over 21 in Tucson in 2015
The number of existing cases of AIDS among females over 21 in Tucson as of June 30, 2015
The number of new cases of AIDS diagnosed among females over 21 in Tucson in 2015
The total number of females over 21 living in Tucson as of June 30, 2015
The number of existing cases of AIDS among females over 21 in Tucson as of June 30, 2015
The total number of females over 21 living in Tucson as of June 30, 2015
A nurse is assisting a child care facility to write a policy that asks parents/guardians of a child with diarrhea to keep the child home until free of symptoms for 24 hours. This is an example of which type of intervention separating the sick from the well?
Quarantine
Social distancing
Isolation
Transmission
Isolation
Which one of the following statistics for cardiovascular disease (CVD) for Arizona in 2012 is a proportionate mortality rate (PMR)?
The CVD mortality rate among African-Americans compared to Pacific Islanders was 168.5 to 68.3, or 2.5 to 1
13,710 out of a total of 48,459 deaths (28%) were from CVD
Eighty-two percent of the deaths related to CVD were among Non-Hispanic Whites
There were 193.3 CVD deaths per 100,000 population
13,710 out of a total of 48,459 deaths (28%) were from CVD
The emergence of germ theory, marked the beginning of the (Sanitary OR Communicable Disease OR Risk factor OR Ecological) ______ phase in the evolution of epidemiology.
Communicable Disease
Scientist have determined that individuals infected with the COVID-19 Omicron variant begin to experience symptoms between 2 to 14 days after exposure. The timeframe between exposure to symptom onset is known as the (latency OR incubation OR communicable OR susceptible) ______ period. In some cases the (latency OR incubation OR communicable OR susceptible) ______ period is shorter than the incubation period, so individuals can spread the infection before they know they have it. Typically, individuals remain infectious for up to three days following the resolution of symptoms. Given this extended (latency OR incubation OR communicable OR susceptible) ______ period, isolation precautions are important to prevent the spread of infection.
incubation
latency
communicable
The sensitivity of the hearing loss questionnaire has been reported to be between 63%-80%. Sensitivity is calculated by dividing
True-positives by total diseased
False-negatives by total diseased
True-negatives by total not diseased
False-positives by total not diseased
True-positives by total diseased
Some of the populations at the greatest risk for human rights violations include, which of the following (select all that apply)?
Minority populations
Incarcerated individuals
Adults between the ages of 25-45
Children
Wealthy land owners
Minority populations
Incarcerated individuals
Children
Which one of the following nursing interventions most clearly exemplifies the ethical principle of social justice?
Complying with the state's reporting laws when receiving a client's report of domestic violence
Teaching teens how to access credible health information on the Internet
Advocating for a newly approved community health clinic to be placed in an area of the city that has limited access to care
Incorporating human rights in a program evaluation
Advocating for a newly approved community health clinic to be placed in an area of the city that has limited access to care
Which two of the following at-risk populations should be protected by International Humanitarian Law (select two)?
Rebel soldiers fighting in Ethiopia
Health care workers caring for injured military personnel in Ukraine
Humanitarian aid workers in El Salvador
Families fleeing armed conflict in Myanmar
Health care workers caring for injured military personnel in Ukraine
Families fleeing armed conflict in Myanmar
Which of the following is an example of primordial prevention targeting the human/civil rights violation of elder abuse?
Advocating for policies that increase funding for Adult Protective Services
Teaching relatives to spot early signs of elder abuse
Screening older adults for various forms of abuse during their yearly physicals
Referring older adults that have experienced elder abuse to a local support group
Advocating for policies that increase funding for Adult Protective Services
Policies which require a mandatory 21-day quarantine for health care workers returning from caring for Ebola patients in West Africa present a conflict between which two ethical principles (select two)?
autonomy
beneficence
fidelity
respect
veracity
Autonomy
Beneficence
There are several patients waiting to be seen at the public health clinic for tuberculosis monitoring and treatment. Which patients face a heightened risk of experiencing discrimination during their visit?
A black woman with diabetes mellitus
An elderly white man with hearing aids
An obese woman with a cane
A young transgender adult
All of the above
All of the above
The nursing director of a local health department realizes that the county health department has funds to continue only one of the following programs, all of which serve vulnerable populations in a disadvantaged community. Which one program would the manager select if a human needs framework were used for guidance in making the most ethical decision?
Sexual health education program for middle school students
Mental health awareness presentations for high school students
Drive-through flu shot clinic for health care workers
No cost shelter for unhoused individuals
No cost shelter for unhoused individuals
Prejudice
To hold negative preconceived opinions about individuals or groups
Stereotyping
Attributing the same characteristics to all members of a group, regardless of individual differences
Profiling
Actions taken in the name of safety or security that rely on stereotypes rather than on reasonable suspicion, to single out individuals for greater scrutiny
Unconscious/Implicit Bias
Automatic judgements that unintentionally impact thinking, decision, and behavior
The United States distinguishes between Human Rights and Civil Rights. The US defines (Human Rights OR Civil Rights) ______ as rights guaranteed to all humans anywhere and (Human Rights OR Civil Rights) ______ as rights that an individual has due to their citizenship or membership status with a country or state.
human rights
civil rights
Female genital mutilation violates international law which guarantees freedom from torture and cruel, inhumane or degrading treatment. Which international agreement provides these specific protections?
Geneva Convention
Universal Declaration of Human Rights
Rules of International Humanitarian Law
Treaty of Versailles
Universal Declaration of Human Rights
The Tuskegee Syphilis Study violated the ethical principle of autonomy by
Infecting the study participants with treponema pallidum (the bacterium causing syphilis)
Failing to report the study's findings to the health care community in a timely manner
Enrolling the men as research subjects without their informed consent
Limiting the study's subjects to African-American men
Enrolling the men as research subjects without their informed consent
To address discrimination in health care, the American Nurses Association recommends which of the following for nurses
Engagement in periods of self-reflection regarding personal and professional values
To embrace justice, caring, diversity, and inclusiveness at the advance practice level
Resignation when a discriminatory event or practice is observed at the workplace
Avoidance of involvement in inclusive policy creation
Engagement in periods of self-reflection regarding personal and professional values
Which strategy might be most useful for a nurse who is struggling to understand a community whose cultural beliefs and values are very different from the nurse's own beliefs and values?
Using the human needs framework
Developing a greater moral imagination
Applying the community as partner model
Incorporating rights-based care
Developing a greater moral imagination
The atrocities committed by the Nazi's during World War II provided the motivation for the creation of which of the following:
American Nurses Association Ethics Advisory Board
Health Care Rights Law
Universal Declaration of Human Rights
International Humanitarian Law
Universal Declaration of Human Rights
An example of the Tuskegee Syphilis Study violating the ethical principle of veracity was
Failing to honor a commitment to treat the men for syphilis
Failing to distribute benefits, such as treatment, among study subjects equally
Lying to the study subjects by telling them they had bad blood rather than syphilis
Enrolling the men as research subjects without their informed consent Telling the study subjects that they had "bad blood" rather than that they had syphilis
Lying to the study subjects by telling them they had bad blood rather than syphilis
A PHN is working with a refugee community whose members' parenting and housekeeping practices dramatically conflict with what the nurse considers adequate. Many refugee community members complain about their lives in the US and wish they could go back to the refugee camps. The PHN is beginning to resent this community, especially considering the benefits they are receiving. The PHN can gain insight into the experiences of those who have suffered human rights violations, such as those in this community, through compassion and empathy towards those who are either unknown or whose cultural beliefs and values are very different. The ANA Position Statement on the Nurse's Role in Ethics and Human Rights calls this
Ethical care
Moral imagination
Social justice
Just provision of care
Moral imagination
Unauthorized (undocumented immigrants) that cross into the U.S. face serious health risks, including which of the following (select all that apply)?
Physical Violence
Allergy induce asthma
Dehydration
Sexual Assault
Death
Physical Violence
Dehydration
Sexual Assault
Death
In 2014, Rwanda had 131.33 deaths per 100,000 (population) related to stroke, 65.9 deaths per 100,000 related to HIV/AIDS and 3.21 deaths per 100,000 related to Hepatitis B.
Based on these statistics, which intervention addresses the greatest threat to the population's health AND primary prevention for a nurse practicing in this country?
Advocacy: extending the vaccination clinic's hours and days to increase access to preventive care
Marketing: distributing medication samples of Lipitor to all adult patients with elevated cholesterol
Health Teaching: regarding a heart healthy diet to decrease risk factors
Health Teaching: organizing a local education campaign to promote condom use with every sexual encounter
Health Teaching: regarding a heart healthy diet to decrease risk factors
At the hospital where the guest speaker nurse worked in Malawi as a Peace Corp volunteer, nurses were primarily responsible for which of the following activities?
Hospital management and administrative functions
Ventilatory management
Medication administration
Assisting patients with activities of daily living
Medication administration
A Public Health Nursing working with a local politician to establish diabetes self-management supportive services in a community in the US-Mexico border region, is addressing the Public Health Core Function of:
Tertiary prevention
Policy development
Health teaching
Informing, educating, and empowering people about health issues
Policy development
A CHN working for the state department of health is conducting a community assessment of the US-Mexico Border Region, as formally-defined by the La Paz Agreement. The CHN should collect the data for the
Counties and municipalities that border Mexico
2000 mile international boundary separating the US from Mexico
Four US states of California, Arizona, New Mexico and Texas, which border Mexico
Area within 65 miles or 100 kilometers on either side of the length of the US- Mexico international border
Area within 65 miles or 100 kilometers on either side of the length of the US- Mexico international border
Which program goal most directly addresses a known health disparity in the US border counties?
Decrease tuberculosis infections in people living in the US border counties
Decrease sudden infant death syndrome (SIDS) in the US border counties
Increase English language proficiency of adults living in the US border counties
Increase high school graduation rates in teens living in the US border counties
Decrease tuberculosis infections in people living in the US border counties
A PHN is working on a committee which is planning a health center for a disadvantaged rural community. The committee's goal is to provide "Health for All" in the community through Primary Health Care. Which of the following planned clinic services addresses one of the elements of Primary Health Care?
Community assessment
Home health care
Mental health care
Genomics counseling
Mental health care
AzNA is the Arizona chapter of the American Nurses Association. AzNA's position statement on border health care makes which of the following recommendations to nurses (select all that apply)?
Advocate for dignified and humane health care for all people in Arizona
Support policies that limit health care availability for non-citizens
Participate in legislative activities in our state and national nursing organizations
Advocate for respectful interactions among border region colleagues
Support amnesty and immigration reform efforts at the federal level
Advocate for dignified and humane health care for all people in Arizona
Participate in legislative activities in our state and national nursing organizations
Advocate for respectful interactions among border region colleagues
Health disparities in the border colonias include which of the following?
Limited access to safe drinking water
Lack of electricity
Salmonellosis
Insufficient primary care providers
Salmonellosis
A CHN is applying for an internship with the organization which is the main international body charged with providing leadership on global health, including setting norms and standards. The CHN hopes to work for the
International Committee for the Red Cross (ICRC)
National Institutes of Health (NIH)
World Health Organization (WHO)
United Nations Children's Fund (UNICEF)
World Health Organization (WHO)
Which is a positive health effect of globalization?
The migration of health care workers from higher to lower income countries
Slower transmission of infectious diseases associated with travel
A decrease in chronic illnesses associated with Western diet
Dissemination of technologies that improve public health
Dissemination of technologies that improve public health
Which one of the following statistics best supports a community health nurse's assessment that there is inadequate primary care in a US Mexico border community?
The high prevalence of food insecurity
A limited number of pharmacies
High incidence of water-borne diseases
A high ratio of the population to general MD and nurse practitioners
A high ratio of the population to general MD and nurse practitioners
The Malawi Freshwater Project (as described in the documentary Water First) addresses the First UN Millennium Goal of eradicating extreme hunger and poverty by providing
Water to irrigate farmland so communities can grow crops to eat and sell
More time for men to farm rather than fetching water from distant areas which is traditionally their responsibility
Community education on how to treat contaminated water by boiling it
Community education on how to grow drought resistant crops to eat and sell
Water to irrigate farmland so communities can grow crops to eat and sell
A CHN from the US is working in an urban city in a developing African country. In planning programs to improve the health of the city's residents, for which of the following services can the CHN expect US financial support (select all that apply)?
Family planning
Abortion services
Micronutrient supplementation
Insecticide-treated bed nets
Family planning
Micronutrient supplementation
Insecticide-treated bed nets
Which of the following is an example of a health disparity found in communities located in the US-Mexico border region?
The high mortality rate from sudden infant death syndrome (SIDS)
Language and literacy barriers
The percent of the community living in poverty
The high incidence and prevalence of type 2 diabetes mellitus
The high incidence and prevalence of type 2 diabetes mellitus
Which of the following are Sustainable Development Goals (select all that apply)?
Zero Hunger
Clean Water and Sanitation
Gender Equality
Wealth for Developing Nations
Zero Hunger
Clean Water and Sanitation
Gender Equality
After completing a community assessment, a nurse draws a population pyramid. Which assessment data will the nurse use to create this type of graph?
The mortality and morbidity statistics in a population
The distribution of age groups and gender in a population
The number of mummies in an Egyptian burial structure
The percentage of the various races and ethnicities in a population
The distribution of age groups and gender in a population
A nurse working in Malawi is concerned about the high dropout rates among school-aged females after puberty, which put this aggregate population at risk for poverty and poor health outcomes. According to the documentary Water First, which is the primary factor contributing to females leaving school during this period in their lives?
Fear of sexual harassment and violence from male classmates and teachers
Islamic law, which forbids women from attending school after puberty
Embarrassment over lack of privacy for urinating and defecating because there are so few latrines
A high maternal mortality rate among females 12-16 years old
Embarrassment over lack of privacy for urinating and defecating because there are so few latrines
Global data provide important guidance for nurses in identifying priorities for programs to address the most pressing health needs. Which one of the following programs addresses the leading cause of death in the world?
The Annual World Heart Day
United Nations Program on HIV/AIDS (UNAIDS)
Diabetes Action Now
Global Alliance for Vaccines and Immunizations
The Annual World Heart Day
A CHN recently returned from a medical mission in Guatemala. He is giving a presentation to a local chapter of a professional nurses association about his experiences providing nursing care in this developing country. He begins his presentation by correctly defining global health as which of the following:
Differences in the incidence, prevalence, mortality and burden of diseases and other adverse health conditions that exist among specific population groups
Health issues that transcend national boundaries and may best be addressed by cooperative actions
Increasing economic, political, social, technological, and intellectual interconnectedness of the world
The elements necessary to achieve the goal of "Health for All" by 2030
Health issues that transcend national boundaries and may best be addressed by cooperative actions
An OHN at the Raytheon Missile Systems plant south of Tucson has developed a diabetes self-management program for workers. A chronic disease self-management program like this is an example of a preventive activity targeting which level of prevention?
Primordial
Primary
Secondary
Tertiary
Tertiary
Employees that complete Health Risk Appraisals are more likely to identify as which of the following?
Women
Manual Laborers
A member of a state sponsored insurance program
Chronically ill
Women
Employees who complete a Health Risk Appraisal are more likely to partake in which of the follow health care activities?
Cancer screenings
Health Fairs
Exercise programs
Homeopathic remedies
Cancer screenings
An occupational health nurse has recently accepted a position in an organization where there are rumors of workplace violence. The nurse should collect which of the following data for further evidence that workplace violence might be present (select all that apply)?
Requests for transfers
Absenteeism
Harassment complaints
Turnover rate
Requests for transfers
Absenteeism
Harassment complaints
Turnover rate
An OHN is teaching a class to health care workers on preventing violence in the workplace. The OHN is demonstrating body positions and postures which could inadvertently escalate an already tense situation. When demonstrating different these body positions to avoid, the OHN's hands should be (select all that apply)
In their pockets
Visible with palms open
Gently on the agitated individual's arm
Folded with arms across their chest
In their pockets
Gently on the agitated individual's arm
Folded with arms across their chest
A new OHN wants to review federal standards and laws most applicable to her employer. Which government website would be the most direct source for the standards aimed at helping employers prevent worksite related illnesses, injuries and deaths?
The Occupational Health and Safety Administration (OSHA)
National Safety Council (NSC)
National Institute for Occupational Safety and Health (NIOSH)
The Centers for Disease Control and Prevention (CDC)
OSHA
Occupational Health Nursing developed out of a need to protect workers from industrial hazards that pose a threat to the health and safety of workers.
True
False
True
According to the CDC, which one of the following basic measures is the best action that nurses can take to minimize their risk of being a victim of workplace violence?
Carry a weapon at all times
Pay attention to instincts such as a fight or flight response as an early warning sign of impending danger
Have identification badges and keys easily accessible on a lanyard around the neck
Work extra shifts to help improve staffing ratios in areas of the hospital at particular high risk for workplace violence
Pay attention to instincts such as a fight or flight response as an early warning sign of impending danger
Healthy Nurse, Healthy Nation is a free health risk appraisal available through the American Nurse's Association. Health risk appraisals as an intervention are primarily used to address which level of prevention?
Tertiary
Primordial
Primary
Secondary
Primary
Which of the following nursing interventions best addresses the most common of the four types of workplace violence in health care settings?
Advocacy: Reporting an employee experiencing intimate partner violence to the police department
Advocacy: Advocating for a free and anonymous Employee Assistance Program (counseling for personal problems)
Community Organizing: Coordinating a workplace civility retreat
Health teaching: Training employees on communication strategies when confronted with agitated patients and visitors
Health teaching: Training employees on communication strategies when confronted with agitated patients and visitors
According to OSHA's top 10 most frequently cited standards, which industry is most impacted by these citations?
Nail Technology
Transportation
Health Care
Construction
Construction
Which of the following are on OSHA's top 10 most frequently cited safety standards (select all that apply)?
Noise and Sound Disturbances
Scaffolding
Respiratory Protection
Fall Protection
Ladders
Scaffolding
Respiratory Protection
Fall Protection
Ladders
An employer might encourage employees to complete a Health Risk Appraisal for several reasons, including which of the following (select all that apply)?
To keep health costs low
To determine who to layoff
To maintain a healthy workforce
To detect employees in need of treatment and support
To keep health costs low
To maintain a healthy workforce
To detect employees in need of treatment and support
Industrial hygienist
Analyzes, identifies, and measures workplace hazards or stresses that can have health consequences for workers, such as chemical exposures or noise levels
Safety officer
Plans, implements, and oversees employee safety for companies
Occupational health nurse
Provider of health and safety programs and services to workers
Employee
Has the right to report workplace safety hazards or concerns anonymously to OSHA and receive updates regarding OSHA findings, citations, and proposed penalties
Employer
Must respond in writing to OSHA outlining planned corrective action within five days of being notified of a potential workplace hazard
A hospital occupational health nurse (OHN) begins a workplace analysis of violence against health care workers with a review of the literature on risk factors associated with this public health issue. The OHN finds that the most common type of workplace violence in healthcare settings is by
Co-worker on co-worker
Those with criminal intent
Patients, clients, and visitors
Intimate partner violence
Patients, clients, and visitors
Health care workers (HCW) should file an incident report in which of the following situations (select all that apply)?
A physical attack by a patient against a HCW which did not result in any injuries
An episode in which a patient was agitated but did not act out physically or verbally against the HCW
A verbal threat by a patient against a HCW where the patient did not act out physically
A physical attack against a HCW which resulted in an injury, which did not require medical treatment
A physical attack by a patient against a HCW which did not result in any injuries
A verbal threat by a patient against a HCW where the patient did not act out physically
A physical attack against a HCW which resulted in an injury, which did not require medical treatment
The chief nursing officer of a local hospital has been asked to take the primary leadership role in the hospital's annual disaster drill. The hospital will use the Incident Command System. The formal title given to the chief nurse in this role is the
Incident Commander
Operations Chief
Commander-in-Chief
Incident Command Director
Incident commander
Increased risk for ______________________ among residents of Census Tract 8822 related to unhealthy levels of radon in the community as evidenced by county morbidity and mortality statistics.
Liver disease
Lung cancer
Leukemia
Eye and skin irritation
Lung cancer
Voices Unheard is a dissertation project that aimed to preserve the oral histories of which Arizonans?
Those that have experienced health consequences due to rising temperatures
Those impacted by the TCE water contamination in Tucson
Those that experience the consequences of prolonged drought
Those living or working near superfund sites
Those living or working near superfund sites
The Food and Drug Administration recommends that pregnant women limit their consumption of large predatory fish, such as shark and swordfish during pregnancy to avoid the risk of mercury poisoning. Based on the mechanisms of pollution distribution, these large predatory fish contain increased levels of mercury due to (Transformation OR Transportation OR Synergism OR Biomagnification OR Bioaccumulation) ______ Exceeding the recommended limitations on consumption could cause mercury levels to increase in a woman's body through the mechanism of (Transformation OR Transportation OR Synergism OR Biomagnification OR Bioaccumulation) _____, which could be harmful to a developing fetus.
Biomagnification
Bioaccumulation
After a national disaster is declared, the governor requests supplies from the nation's Strategic National Stockpile. Nurses and other health care workers responding to the disaster can expect which of the following supplies from the Strategic National Stockpile (select all that apply)?
Medical supplies
Bottled water and nonperishable food
Pharmaceuticals
Personal to-go kits
Medical supplies
Pharmaceuticals
A population health nurse (PHN) assigned to a census tract bordering an airport is concerned about the effects noise pollution has on the community. The nurse should develop a plan to screen residents living in the area for hearing loss and
Anxiety and emotional stress
Learning disabilities
Obesity
Neuropathies
Anxiety and emotional distress
A population health nurse has received a grant to address the prevention/mitigation stage of disaster management in the community. The first step in the plan should be a
Risk assessment
Needs assessment
Community assessment
Resource assessment
Risk assessment
When responding to a disaster, a nurse honors the ethical principal of fidelity by
Respecting competent adults' choices and decisions
Reporting to work as scheduled
Doing the greatest good for the largest number of people
Working to ensure that scarce resources are distributed fairly
Reporting to work as scheduled
The biological Class A agent posing the greatest threat to a community as a weapon of mass destruction is
Anthrax
Botulism
Smallpox
Tularemia
Anthrax
A PHN is using Twitter to promote awareness of the high rate of lead poisoning in a community. Which one of the following tweets could be re-tweeted to communicate a known risk factor for lead poisoning?
Did you know that renovating older homes might be harmful to your health? Protect yourself from dust: http://www.epa.gov
The liquid-containing nicotine used in e-cigarettes can be hazardous and as currently sold is a threat to children. http://go.usa.gov/kq2R
Maintain working smoke & carbon monoxide detectors. Here's a link to all AAP tips: http://ow.ly/uQduZ
Poisonings are preventable. Read the label before using pesticides & household products. http://1.usa.gov/ygC9UF
Did you know that renovating older homes might be harmful to your health? Protect yourself from dust: http://www.epa.gov
Evidence demonstrates that climate change is having and will continue to have significant impacts on human health. In the southwest, water supply and quality are important climate concerns. What health impacts are associated with changes to the water supply and water quality (select all that apply)?
Malnutrition and dehydration
Increased incidence of certain water borne diseases, such as cholera, campylobacter, or cryptosporidiosis
Increased incidence of diarrheal disease
An increased risk of falling victim to wildfires
Increased poisonings from TCE or water pollutants
Malnutrition and dehydration
Increased incidence of certain water borne diseases, such as cholera, campylobacter, or cryptosporidiosis
Increased incidence of diarrheal disease
A middle-aged adult female is found unconscious and not breathing. The next step the triage nurse should take is to
Open her airway and reassess for respirations
Open her airway and begin CPR
Tag her for EXPECTANT care
Tag her for IMMEDIATE medical care
Open her airway and begin CPR
A nurse interested in volunteering for disaster response must first
Register with an organization that responds to disasters
Become certified in disaster management
Purchase personal liability insurance
Complete 10 hours of continuing education on disaster response
Register with an organization that responds to disasters
Transport, Transformation, Bioaccumulation, Biomagnification, and Synergism are the five
Basic principles of ecology
Categories of environmental hazards affecting health
Human environmental subsystems affecting human health
Mechanisms by which pollutants are distributed in the environment
Mechanisms by which pollutants are distributed in the environment
Public health problems associated with climate change include infectious diseases, heat-related illnesses, injury from extreme storm events, and
Birth defects
Neuropathies
Worsening allergies and asthma
Obesity/diabetes
Worsening allergies and asthma
A PHN is teaching a class on personal disaster preparedness to a community group and begins the class with a definition of a disaster. While there are many definitions, the key point that must be included in the definition is that a disaster
Causes more needs than resources available
Occurs suddenly without any warning
Is usually preventable
Causes numerous injuries, sickness, and/or deaths
Causes more needs than resources available
A national nursing organization has developed an evidenced-based initiative to promote disaster preparedness in communities at greatest risk for climate-related extreme weather events, such as flooding and hurricanes. Priority communities for the initiative should be those in the
Cities in the desert southwest
Midwestern cities
Agricultural areas
Coastal areas
Coastal areas
The PHN is teaching a community class on disaster preparedness. The PHN instructs the audience that a to-go kit should include how much water per person per day?
One liter
One gallon
One case
One quart
One gallon
An elderly male is unable to walk, has respirations of 16/minute, a palpable pulse, a capillary perfusion of 1.5 seconds, but cannot follow simple commands. The next step the triage nurse should take is to
Tag him for MINOR care with supervision
Take a history to determine if the inability to follow commands is a new finding
Tag him for DELAYED care with supervision
Tag him for IMMEDIATE medical care
Tag him for IMMEDIATE medical care
