quiz 2

A nurse is using analytic epidemiology when conducting a research project. Which of the following projects is the nurse most likely completing?

a. Reviewing communicable disease statistics

b. Determining factors contributing to childhood obesity

c. Analyzing locations where family violence is increasing

d. Documenting population characteristics for healthy older citizens

b. Determining factors contributing to childhood obesity

A nurse is employed as a nurse epidemiologist. Which of the following activities would most likely be completed by the nurse?

a. Eliciting the health history of a client presenting with an illness

b. Evaluating the number of clients presenting with similar diseases

c. Performing a physical examination of an ill client

d. Providing treatment and health education to a client with a disease

b. Evaluating the number of clients presenting with similar diseases

Which of the following actions by Florence Nightingale demonstrates her role as an epidemiologist?

a. She convinced other women to join her in giving nursing care to all the soldiers.

b. She demonstrated that a safer environment resulted in decreased mortality rate.

c. She obtained safe water and better food supplies and fought the lice and rats.

d. She met with each soldier each evening to say goodnight, thereby giving psychological support.

b. She demonstrated that a safer environment resulted in decreased mortality rate.

Which of the following statements describes how nursing in the community is more challenging than nursing in an acute care setting? a. There is limited access to information useful to the nurse in giving care in the community. b. More paperwork and forms are required when giving care in the home. c. It is more challenging to control the environment in the community. d. Specialization isn't possible in the community setting.

c. It is more challenging to control the environment in the community.

Several small communities have applied for grant funding from the state department of health to help decrease their teenage pregnancy rate. Which of the following communities should the nurse suggest receive funding first?

a. Community A—with 23 single teenage pregnancies in a city of 500

b. Community B—with 45 single teenage pregnancies in a city of 1000

c. Community C—with 90 single teenage pregnancies in a city of 2000

d. Community D—with 90 single teenage pregnancies in a city of 1500

d. Community D—with 90 single teenage pregnancies in a city of 1500

Between 2010 and 2015, 1000 of 10,000 young women age 17 to 20 years at a university tested positive for a sexually transmitted infection (STI). Of the 1000 diagnosed STIs, 300 were gonorrhea and 500 were chlamydia. Which of the following statements best summarizes these findings?

a. The proportion of cases of gonorrhea to all STIs was 300:1300.

b. The proportion of cases of gonorrhea to chlamydia was 300:500.

c. The proportion of cases of gonorrhea to all STIs was 50%.

d. The proportion of STIs to the total population was 100:1000.

d. The proportion of STIs to the total population was 100:1000.

The nursing staff has attempted to screen the entire African-American population in the community for diabetes. Which of the following would provide immediate verification of the success of the nursing staff's efforts?

a. An epidemic of diabetes will be recognized.

b. The incidence of diabetes will increase in the community.

c. The prevalence of diabetes will decrease in the community.

d. The risk for diabetes in the community will increase.

b. The incidence of diabetes will increase in the community.

In a particular community, several high school students were diagnosed with diabetes mellitus type 2 during the annual high school health fair. Over the next few years, the nursing staff developed and implemented educational programs about the risk factors for diabetes mellitus type 2 and proper nutrition. Which of the following would be the most useful for the nurses to use to determine if they are having any impact?

a. The epidemic of diabetes in the high school is gradually ending.

b. The incidence of diabetes is slowly decreasing during screening events. c. The prevalence of diabetes is slowly decreasing during screening events. d. The risk for diabetes is slowly increasing over time.

b. The incidence of diabetes is slowly decreasing during screening events.

This year 600 of 8000 young women age 17 to 20 years at a university health center tested positive for a sexually transmitted infection (STI). Which of the following terms best describes this data?

a. An epidemic

b. Incidence

c. Prevalence

d. Risk

c. Prevalence

A nursing staff has successfully screened for diabetes in the community. Which of the following might best persuade the health board to increase funding for diabetic clinics in this community?

a. An epidemic of diabetes is now recognized and must be addressed.

b. The incidence of diabetes is now higher than previously recognized in the community.

c. The prevalence of diabetes is now higher than previously recognized in the community.

d. The risk for diabetes in the community could decrease if funding is received.

c. The prevalence of diabetes is now higher than previously recognized in the community.

A public health nurse found that out of the 70 people who ate the potato salad at a school picnic, 63 developed symptoms of food poisoning. Which of the following best describes the attack rate?

a. 63%

b. 70%

c. 90%

d. 100%

c. 90%

A man is diagnosed with prostate cancer. Which of the following data should the nurse know to answer the man when he asks, "What are the chances I'll survive this thing?"

a. Attack rate

b. Case fatality rate

c. Cause-specific morbidity rate

d. Crude mortality rate

b. Case fatality rate

Which of the following statistics is used by countries to compare the success of their health care systems?

a. Attack rate

b. Infant mortality rate

c. Proportionate mortality ratio

d. Cause-specific mortality rate

b. Infant mortality rate

A nurse is examining all of the various factors which can lead to disease. Which of the following models would the nurse most likely use?

a. Epidemiologic triangle

b. Health promotion

c. Levels of prevention

d. Natural history of disease

a. Epidemiologic triangle

A nurse is examining the various factors that lead to disease and suggesting several areas where nurses could intervene to reduce future incidence of disease. Which of the following models would the nurse most likely use?

a. Epidemiologic triangle

b. Health promotion

c. Levels of prevention

d. Web of causality

d. Web of causality

Which of the following actions would a nurse take to reduce the high incidence of coronary artery disease in a community?

A)Introduction of a heart-healthy curriculum beginning in the first grade, presentations on diet and exercise for the community at large, and special education sessions for high-risk populations

B)Provision of online activities related to prevention of cardiac disease, smoking reduction programs, and blood pressure screenings

C)Distribution of handouts, including age-appropriate games, self-assessments, and education on heart-healthy lifestyles; availability of community screenings for hyperlipidemia in persons age 35 and older; and walking programs for those affected with CAD

D)Enrollment of clients with CAD into cardiac rehabilitation programs, routine evaluation of effectiveness of CAD treatment regimens, and participation in clinical trials that evaluate interventions for those diagnosed

c. Distribution of handouts, including age-appropriate games, self-assessments, and education on heart-healthy lifestyles; availability of community screenings for hyperlipidemia in persons age 35 and older; and walking programs for those affected with CAD

A school nurse wants to decrease the incidence of obesity in elementary school children. Which of the following describes a secondary prevention intervention that the nurse could implement?

a. Giving a presentation on the importance of exercise and physical fitness b. Designing a game in which students select healthy food choices

c. Weighing students to identify those who are overweight

d. Putting students on a diet if they weigh greater than 20% of their ideal weight

c. Weighing students to identify those who are overweight

A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily. Which of the following levels of prevention is being used by the nurse?

a. Primary prevention

b. Secondary prevention

c. Tertiary prevention

d. Treatment, but not prevention

c. Tertiary prevention

A nurse has only a regular blood pressure cuff when conducting a health screening for all of the residents of a community. Which of the following may be lacking when obtaining blood pressure readings?

a. Reliability

b. Sensitivity

c. Specificity

d. Validity

d. Validity

A nurse is administering a tuberculosis (TB) skin test to a client who has acquired immune deficiency syndrome (AIDS). Which of the following results should the nurse anticipate when using this screening test?

a. Decreased positive predictive value

b. Decreased reliability

c. Decreased sensitivity

d. Decreased specificity

c. Decreased sensitivity

Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that they receive immediate treatment and not take the disease home to their families. Which of the following characteristics would be most important to consider when selecting the screening test to be used?

a. The negative predictive value

b. The positive predictive value

c. The sensitivity of the test

d. The specificity of the test

c. The sensitivity of the test

A woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, "What's wrong? Can I help?" The woman responds, "They just told me I have a positive mammogram and I need to see my doctor for follow-up tests. I know I'm going to die of cancer. How can I tell my family?" Which of the following information does the nurse need to know in order to help the woman cope with this finding?

a. The negative predictive value of mammography

b. The positive predictive value of mammography

c. The reliability of mammography

d. The validity of mammography

b. The positive predictive value of mammography

The administration at a local medical center examines the trends in health problems when developing long-range plans for staffing and space allocation. Which of the following sources of information would be most helpful?

a. Local data drawn from a professional survey in the city

b. The National Health Interview Survey

c. The National Hospital Discharge Survey

d. The state's vital statistics

a. Local data drawn from a professional survey in the city

Statistics clearly demonstrate that there are significantly more cases of a disease in one particular neighborhood than in all the rest of the city. Assuming all else is the same, which of the following is the most likely explanation for a single neighborhood having such a different pattern of illness?

a. A cultural or ethnic concentration in the neighborhood

b. The geographic location of the neighborhood within the city

c. A statistical fluke without meaning

d. The time of year the different statistics were collected throughout the city

a. A cultural or ethnic concentration in the neighborhood

Two women seem to agree on almost everything from favorite music to favorite media stars to the best way to prepare a meal. Which of the following best explains this similarity in the two women?

a. They are both members of the same birth cohort.

b. They are close friends.

c. They attended the same school.

d. They both go to the same church.

a. They are both members of the same birth cohort.

A nurse reports that in comparison to all the children in a particular school, the children who are members of the Cub Scouts have 0.3 risk for obesity before entering the sixth grade. Which of the following recommendations would the nurse make to the new parents of two boys who had just moved into this school's neighborhood?

a. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.

b. Don't say anything about Cub Scouts, because it isn't relevant to nursing care.

c. Encourage the parents to enroll their sons in Cub Scouts.

d. Share the finding and let the parents draw whatever conclusions they feel appropriate.

c. Encourage the parents to enroll their sons in Cub Scouts.

A principal comments to the school nurse that it seems there are a lot more problems with asthma among the students than there were before the school was remodeled a couple of years ago. The nurse investigates the principal's observation by reviewing all the school records to determine visits to the health office because of asthma by week and month for the past 5 years. Which of the following best describes the type of study the nurse is conducting?

a. Descriptive epidemiological study

b. Ecological study

c. Prospective cohort study

d. Retrospective cohort study

d. Retrospective cohort study

Which of the following types of study should the nurse researcher choose if the goal is to identify the long-term benefits and risks of a particular nursing intervention for senior citizens living in the community?

a. Cross-sectional study

b. Ecological study

c. Clinical trial

d. Retrospective analysis

c. Clinical trial

A teacher recommends that surveys to obtain data on drug use be given to high school students when they meet for various school organizations. Which of the following best describes why the nurse would reject this suggestion?

a. This method of data collection would result in classification bias.

b. This method of data collection would result in confounding bias.

c. This method of data collection would result in personal bias.

d. This method of data collection would result in selection bias

d. This method of data collection would result in selection bias

A nurse is investigating a bacterial illness that has caused a health problem in the community. Only some of the people exposed to the bacteria have become ill. Which of the following factors best explains why this would have happened?

a. Chemical agent factors

b. Environmental factors

c. Host factors

d. Physical agent factors

c. Host factors

A nurse considered copying last month's surveillance report and changing the date because the number of occurrences per month had not noticeably changed. Which of the following best explains why the nurse should continue to spend time collecting and reporting data that is always nearly the same?

a. Because such data are legally required

b. Because it is still part of the nurse's responsibilities, even if on minimal value

c. To determine a local baseline rate and immediately notice any change

d. To determine differences among communities in need for state assistance

c. To determine a local baseline rate and immediately notice any change

A nurse attends a conference to learn more about public health surveillance. Why is it so important that the nurse be knowledgeable about this topic?

a. Because nurses are employed in public health agencies

b. Because nurses are often the first to recognize and respond to a problem

c. Because nurses are responsible for ensuring that action is taken when necessary

d. Because nurses are typically the ones to interact with the public and the media

b. Because nurses are often the first to recognize and respond to a problem

A rural public health nurse is spending time reviewing death certificates. Which of the following best explains the purpose of this activity?

a. To ensure that local causes of death are consistent with national causes of death

b. To confirm that no local health problems are beginning

c. To evaluate effectiveness of health promotion programs

d. To obtain mortality data for the local area

d. To obtain mortality data for the local area

Which of the following types of surveillance systems is being used when case reports are routinely sent to local health departments by health care providers and laboratories, where the data are then summarized and forwarded to those responsible for monitoring such reports?

a. Active

b. Passive

c. Sentinel

d. Special

b. Passive

In which of the following situations would the nurse most likely use an active surveillance system?

a. A newspaper wants to know the incidence of asthma in the community.

b. A real-time ongoing communication channel is established to monitor a particular symptom.

c. Several children become ill with gastrointestinal (GI) upset at one local school.

d. The nurse is asked to report the incidence of a specific nonreportable common problem in the community.

c. Several children become ill with gastrointestinal (GI) upset at one local school

Several children were hospitalized for severe vomiting and diarrhea. Which of the following best explains why the nurse would continue to pursue the cause of the illness even after the children have been discharged from the hospital?

a. So that the children's families know the public health department cared about them

b. So that action could be taken to avoid any such future episodes

c. Because the children's parents need to know whom to sue for their medical expenses

d. To confirm that the symptoms were due to an infectious disease

b. So that action could be taken to avoid any such future episodes

A child came to school coughing almost constantly. The next day, six other children in the same school room were coughing. Which of the following types of outbreak would the nurse suspect?

a. Common source

b. Mixed

c. Propagated

d. Intermittent

a. Common source

A nurse noted that of 18 children in a daycare center room, 5 became ill. Which of the following best describes a host factor that may be associated with this illness and who became ill?

a. Some of the children were from very low socioeconomic families.

b. Some of the children inhaled car exhaust while playing outside.

c. The bacterial cause of the illness was easily removed by handwashing.

d. The daycare center room was much warmer on three sides in comparison to the side with the floor to ceiling windows.

a. Some of the children were from very low socioeconomic families

In January, a nurse is listening to colleagues talk about the increase in depressed patients asking for help from their primary care providers recently. The incidence of reports of depression was higher in the last month than in the previous 3 months. Based on this data, which of the following would be the next step for the nurse to take?

a. No further action is necessary because depression is known to worsen during the shorter darker days of winter.

b. No further action is necessary because this short-term increase may just be a statistical error or even just a mistaken impression by the involved nurses.

c. Action should be taken because there must be some cause for this noted increase.

d. Action should be taken because this increase may be the beginning of an epidemic and should be investigated.

a. No further action is necessary because depression is known to worsen during the shorter darker days of winter.

Which aspect of a biological agent is probably the most frightening to those exposed?

a. Infectivity

b. Invasiveness

c. Pathogenicity

d. Virulence

d. Virulence

Which of the following is the primary cause of vulnerability to health problems?

a. Breakdown of family structures

b. Poverty

c. Prejudice

d. Social isolation

b. Poverty

A nurse is working as a case manager with a vulnerable population. Which of the following actions should the nurse do when providing care?

a. Be willing to enter into a long-term relationship with families.

b. Direct and control the client's care because the nurse knows what is most needed.

c. Encourage families to become self-sufficient and less dependent on nursing personnel for advice and referrals.

d. Rotate assignments periodically to prevent attachment and codependency

a. Be willing to enter into a long-term relationship with families.

Which of the following terms is used to describe aggregates who are at high risk for having poor health outcomes because of limited resources?

a. Disadvantaged families

b. Multi-problem families

c. Resilient populations

d. Vulnerable populations

d. Vulnerable populations

Nurses at a homeless clinic are concerned that homeless clients rarely return to have the nurses assess the findings of their tuberculosis (TB) skin tests. Which of the following is the most appropriate policy for the clinic to have regarding the screening test findings?

a. Call all homeless clients 48 hours after TB skin testing to remind them to return to the clinic for test interpretation.

b. Have homeless individuals read their TB skin test, if necessary, and mail in results on a postage-paid card coded to protect privacy.

c. Readminister the TB skin test if the client returns later than scheduled for test interpretation.

d. Routinely refer all homeless clients for chest X-rays.

b. Have homeless individuals read their TB skin test, if necessary, and mail in results on a postage-paid card coded to protect privacy.

A community health nurse would like to implement an intervention to increase lasting resilience among new immigrants. Which of the following actions should be taken by the nurse?

a. Direct clients to English-as-second-language courses.

b. Give immigrant clients money to help them get settled.

c. Identify areas in the city where housing is less expensive.

d. Solicit donations for food, clothing, and other need

a. Direct clients to English-as-second-language courses.

A staff member is orienting a new nurse to a health clinic that serves primarily vulnerable populations. Which of the following statements indicates a need for additional staff education?

a. "If a client who does not speak English comes in, you must obtain an interpreter right away."

b. "We try to take care of as many problems as possible in one visit, so when you interview the client, ask about additional concerns."

c. "You will like working with Hispanic immigrants because they all have close-knit family structures."

d. "You will need to assist the client by scheduling any referral or follow-up appointments around their work schedules."

c. "You will like working with Hispanic immigrants because they all have close-knit family structures."

Which of the following factors predisposes many migrant farm workers to disenfranchisement?

a. Being a minority group member

b. Inability to attend religious services because of work requirements

c. Previous experiences of physical abuse

d. Short length of time in the community

d. Short length of time in the community

A community health nurse is implementing a tertiary prevention activity related to tuberculosis. Which of the following interventions is the nurse most likely completing?

a. Administration of skin tests to identify persons who have been infected with tubercle bacilli

b. Assessing for signs and symptoms of active tuberculosis

c. Directly observing clients with active tuberculosis as they take their antitubercular medications

d. Interpretation of tuberculosis skin test findings

c. Directly observing clients with active tuberculosis as they take their antitubercular medications

A large financial grant was being offered to whichever health facility wanted to accept the responsibility for giving care to local vulnerable populations. Which of the following actions would most likely be taken by the local medical centers?

a. Agree to collaboratively apply for the funds in a cooperative proposal.

b. Individually compete eagerly for the additional funds now available.

c. Reach out enthusiastically to this previously underserved population group.

d. Strongly consider not applying, because this population will be expensive to treat.

d. Strongly consider not applying, because this population will be expensive to treat.

A nurse offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive for TB. Which of the following levels of prevention is being used?

a. Primary prevention

b. Secondary prevention

c. Tertiary prevention

d. Secondary and tertiary prevention

b. Secondary prevention

Which individual has the greatest risk for becoming a member of the vulnerable population of the local community?

a. A male diagnosed with a cardiac issue who recently moved in with his adult child

b. A single mother who is studying for a law degree at the local university

c. A 50-year-old married female who has worked as a server in local restaurants for her entire adult life

d. A single male who has a history that includes a learning disability and a parent diagnosed with type 2 diabetes

d. A single male who has a history that includes a learning disability and a parent diagnosed with type 2 diabetes

A nurse who is providing diabetes screening at a community clinic discovers that a new client has type 2 diabetes mellitus. The nurse provides counseling, refers the client to an endocrinologist for initial assessment and treatment, arranges for the client to see someone regarding financial assistance, contacts the mobile van to arrange transportation, and sets up a follow-up appointment. Which of the following types of service does these actions represent?

a. Case management

b. Client advocacy

c. Holistic care

d. Wrap-around services

a. Case management

A homeless family brought their father to the public health clinic after he reported bleeding when he went to the bathroom. Which of the following nursing actions would be most appropriate?

a. Begin tests to determine the cause of the bleeding while asking about other family concerns from nutrition to shelter for the night.

b. Refer the man to a urologist to address the urinary bleeding.

c. Suggest that the family take him to an urgent care center immediately.

d. Treat the urinary infection and give the man medication to take to prevent the recurrence of infection.

a. Begin tests to determine the cause of the bleeding while asking about other family concerns from nutrition to shelter for the night.

Which of the following bills would the nurse lobbyist, who believes strongly in social justice, encourage legislators to support?

a. A bill that establishes policies requiring all persons to pay the same cost for services regardless of income

b. A bill that promotes universal health insurance coverage

c. A bill that requires all health care providers to give care to uninsured persons without charge

d. A bill that requires health care workers to report undocumented immigrants who present for treatment

b. A bill that promotes universal health insurance coverage

Nursing students have been assigned to set up a health fair for the homeless population in a large urban setting. Without any funds to pay for space, where should the health fair be located, assuming that all of the following sites are available at no cost?

a. At the city's homeless shelter, which is, by policy, vacant during the day

b. At a large medical center, where the students could get permission to use an empty clinic in the evening

c. At the largest inner city police station, where there was a large empty space available

d. At the local community college, where there are plenty of tables and chairs

a. At the city's homeless shelter, which is, by policy, vacant during the day

A nurse was shocked when late one night she saw a former high school friend going through a trash bin outside a fast-food restaurant and pulling out half-eaten food. Which of the following is the most likely explanation for a healthy young adult engaging in such behavior?

a. He ate his meal but wanted more and had no more money.

b. He had full-time employment, but with such a low salary it was inadequate to meet basic expenses.

c. A friend had thrown his meal away, and he thought he could find his friend's untouched food.

d. He was doing this to fulfill an obligation of fraternity initiation at the college

b. He had full-time employment, but with such a low salary it was inadequate to meet basic expenses.

Which of the following clients is most likely to experience a high incidence of poverty?

a. A 65-year-old woman

b. A 14-year-old male

c. A 79-year-old male

d. A 19-year-old female

b. A 14-year-old male

A school nurse was talking to the teacher of an 8-year-old child who was living with her mother in their car. Which of the following concerns would lead the nurse to talk to the teacher concerning the child's academic progress?

a. Protentional abuse risk

b. Possible developmental delays

c. Food insecurity

d. Susceptibility to infections

b. Possible developmental delays

Which of the following is the most rapidly growing group experiencing poverty?

a. Hispanic families

b. Women older than 65

c. African-American families

d. Single men of all ages

b. Women older than 65

Which of the following statements best describes why health care of the homeless is so expensive to the community?

a. Health conditions of the homeless require increased preventive services.

b. Homeless clients typically make more clinic visits for multiple health problems.

c. Homeless people are a major source of spread for contagious diseases. d. Most care to homeless people takes place in hospital emergency departments

d. Most care to homeless people takes place in hospital emergency departments

The nurse who works at a homeless clinic wants to improve healing of chronic wounds in clients living on the streets. Which of the following would be the best action to take to improve client outcomes?

a. Provide antibiotics to all homeless persons with chronic, nonhealing wounds.

b. Offer daily access to a room with soap, water, and bandages.

c. Hand out free bandaging supplies following each clinic visit.

d. Perform regular monitoring of the client's wound condition

b. Offer daily access to a room with soap, water, and bandages

A nurse is assessing a young, single pregnant woman. Which of the following findings would be of most concern to both mother and fetus?

a. Elevated blood pressure

b. First prenatal visit at 5 months' gestation

c. Homelessness

d. Positive STD test

c. Homelessness

A nurse is working to ensure long-term positive health outcomes of poor pregnant teens and their children. Which of the following actions would the nurse most likely take?

a. Assist teen mothers to learn about their body changes during pregnancy.

b. Develop programs that allow teen mothers to complete their education.

c. Offer courses in proper care of babies and how to be a parent.

d. Monitor pregnant teens to detect early problems with pregnancy.

b. Develop programs that allow teen mothers to complete their education

A school health nurse presents a program on preventing teen pregnancy to a group of parents. Following the presentation, which of the following comments by a parent would cause concern?

a. "I do not know if my son is sexually active; however, I have decided I'm going to talk to him about it."

b. "My daughter is too intelligent to get involved with boys, even if her friends do sleep around."

c. "My daughter and I have often discussed sexuality, and when she's ready, I'll pay for her birth control pills."

d. "I have spoken to my son about birth control. He says he's not ready to be a father and support a baby. He wants to go to college."

b. "My daughter is too intelligent to get involved with boys, even if her friends do sleep around."

A nurse is providing care to a pregnant teenager. Which of the following principles is the most important for the nurse to consider when providing care?

a. All teen pregnancies are considered high risk.

b. Limited self-care knowledge can lead to pregnancy complications.

c. Pregnant teens are likely to receive prenatal care late in the pregnancy.

d. Pregnant teens may have limited financial resources to pay for care.

a. All teen pregnancies are considered high risk

The nurse is making a postpartum visit to a teenage mother and her month-old infant. Which of the following assessments would be most important?

a. Assessing for mother's ability to fulfill her own growth and development tasks

b. Assessing for mother's knowledge about normal infant growth and development

c. Assessing how much the teenage mother's own mother is helping her cope with childcare

d. Assessing whether the baby's father is being helpful to the mother

b. Assessing for mother's knowledge about normal infant growth and development

A mother and her son are in the emergency department seeking care after the son had become so angry that he put his hand through a glass window and had to have stitches. The emergency care provider suggested a psychiatric consult. Now the mother asks, "Do you think my son is crazy?" Which of the following is the most appropriate response by the nurse?

a. Absolutely not. But a psychiatrist can help your son realize more appropriate ways of displaying anger.

b. Have you had other reasons to think your son is crazy? Perhaps the psychiatrist can reassure you that your son is just an adolescent coping with hormones.

c. Your son is having problems coping with anger. And naturally you're upset. Let the psychiatrist determine whether your son is crazy or not.

d. Your son is having problems with behavior, which is distressing all of you. A psychiatrist may be able to help your son cope with life in a more acceptable way.

d. "Your son is having problems with behavior, which is distressing all of you. A psychiatrist may be able to help your son cope with life in a more acceptable way."

Which of the following is the leading cause of disability for adult Americans? a. Accidents b. Arthritis Which of the following is the leading cause of disability for adult Americans?

a. Accidents

b. Arthritis

c. Anxiety disorders d. Workplace injuries

d. Workplace injuries

Which of the following is the leading cause of disability for adult Americans? a. Accidents b. Arthritis c. Anxiety disorders d. Workplace injuries

A community mental health nurse is working within the community to help prevent youth violence. Which of the following interventions would most likely be implemented by the nurse?

a. Distributing literature that associates violence with a lack of intelligence b. Explaining to youth why youth violence is detrimental to society

c. Partnering with associations to provide alternative activities that improve social skills

d. Recommending increased funding to prosecute and jail teens associated with violent activity

c. Partnering with associations to provide alternative activities that improve social skills

Which of the following clients is most at risk for suicide involving firearms? a. A 15-year-old female

b. A 20-year-old male

c. A 56-year-old female

d. A 36-year-old male

b. A 20-year-old male

A nurse is trying to identify the risk for mental health problems among older adults. Which of the following interventions should the nurse implement initially?

a. Provide information on mental health resources in the community.

b. Teach the elderly to self-monitor for signs and symptoms of depression.

c. Organize screening programs offered at senior centers.

d. Teach older clients to focus on their strengths rather than their weaknesses.

c. Organize screening programs offered at senior centers

A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients. Which of the following actions by the nurse demonstrates the use of secondary prevention to limit caregiver stress?

a. Asking caregivers how they are doing and suggesting coping strategies b. Encouraging caregivers to periodically leave the house for a couple of hours

c. Establishing support groups for caregivers of older parents

d. Referring some activities to neighbors and friends

a. Asking caregivers how they are doing and suggesting coping strategies

A nurse would like to increase the accessibility to health care services for mentally ill homeless clients in the community. Which of the following actions should be taken by the nurse?

a. Apply for a grant to fund a mobile clinic to take health care to the clients.

b. Distribute flyers to the homeless that detail the location of various types of health care services.

c. Refer homeless clients to areas that provide temporary housing.

d. Solicit donations for food and clothing to be distributed to the homeless.

a. Apply for a grant to fund a mobile clinic to take health care to the clients.

According to the Federal Register, which of the following is the minimum income needed by a family of four to meet the basic needs for healthy living (that is, an income below this amount is considered insufficient to provide the food, shelter, and clothing needed to preserve health)?

a. $16,020

b. $26,200

c. $36,580

d. $40,890

b. $26,200

A nurse is working to improve personal self-awareness in order to provide better client-centered care to clients living in poverty. Which of the following questions should the nurse self-reflect upon?

a. What would I do if I lived in poverty?

b. What can be done to get poor people motivated to work?

c. How have the media images of poor persons shaped my image of poverty?

d. How can community resources assist those living in poverty?

c. How have the media images of poor persons shaped my image of poverty?