COMMUNITY HEALTH NURSING EXAM QUESTIONS
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The nursing student is taught correctly that local health departments do
not oversee which of the following?
a) The surveillance of disease
b) Public sanitation and water supply
c) Licensing of local hospitals
d) Investigation of disease outbreaks - ANS ✓c) Licensing of local hospitals
The PHN recognizes that environmental science, epidemiology,
biostatistics, biomedical sciences, and ______ form the foundational subjects
of public health.
a) Social and behavioral sciences
b) The humanities
c) Anthropology
d) economics - ANS ✓a) Social and behavioral sciences
If a PHN meets the PHN Core Competencies, he or she should be able to do
which of the following? Select all that apply
a) Work with corporations to create an emergency response program to
bioterrorism
b) Create a financial plan for a clinic and manage the budget
c) Function as a medical doctor at a clinic if there is none
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d) Understand the dietary restrictions of new immigrants
e) Develop policy for handling a local quarantine - ANS ✓a) Work with
corporations to create an emergency response program to bioterrorism
d) Understand the dietary restrictions of new immigrants
e) Develop policy for handling a local quarantine
In 2011, the National Prevention Strategy released a plan to increase the
number of Americans who are healthy at every stage of life. Which of the
following is not one of the strategic directions included in the strategy?
a) Eliminating health disparities
b) Building healthy and safe community efforts
c) Increasing access to care
d) Empowering people to make healthy choices - ANS ✓c) Increasing access
to care
A nursing student is studying the seven priorities of the National
Prevention Strategy. The student correctly identifies which one of the
following interventions as not reflecting any of the seven priorities in this
plan?
a) Conducting a smoking cessation clinic
b) Assisting low-income families to sign up for health-care insurance
c) Providing nutrition classes which offer weekly fill-in guides for grocery
shopping
d) Building a health and exercise center in a hospital near the physical and
occupational therapy areas - ANS ✓b) Assisting low-income families to sign up
for health-care insurance
If a nurse is using the natural history of a disease to help develop a primary
prevention program for a specific disease, he or she would begin with:
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a) Making sure that everyone in a certain area receives treatment.
b) Studying the continuum of the disease with a focus on the disease free
state.
c) Looking at screening tools for identifying person who may have the
disease.
d) Going to the autopsies of the patients who have died. - ANS ✓b) Studying
the continuum of the disease with a focus on the disease free state.
When a health-care provider offers nutritional health teaching on portions,
patterns, and choices, he or she is using which type of approach?
a) Ecological
b) Downstream
c) Upstream
d) Health promotion - ANS ✓b) Downstream
A school cafeteria is planning menus for the school year. They used the
2012 national law that calls for school lunch programs to have larger
portions of fruits and vegetables, less sodium, and no trans fats as their
guide. This is an example of:
a) An upstream approach
b) An examination of the social aspects of obesity
c) A downstream approach
d) A and C - ANS ✓a) An upstream approach
A public health nurse (PHN) notices the rising incidence of H1N1 (swine
flu) in a geographic area. The nurse considers possible interventions,
knowing that the preclinical phase of H1N1 lasts:
a) One to two days
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b) Two to four days
c) Three to four days
d) Five to seven days - ANS ✓a) One to two days
In the traditional public health prevention framework, the level of
prevention that includes early detection and initiation of treatment for
disease, or screening, is referred to as the:
a) Clinical level
b) Primary level
c) Tertiary level
d) Secondary level - ANS ✓d) Secondary level
Attributable risk is the proportion of cases or injuries that would be
eliminated if a risk factor did not occur, but preventable fraction is:
a) The number of cases that actually occur in a given population at a
specific point in time.
b) What could be achieved with a program implemented in a community
setting within the at-risk population when community members actually
participate in the program.
c) The number of cases that require intervention.
d) An estimation of the number of cases with the high-risk factor(s). - ANS
✓b) What could be achieved with a program implemented in a community
setting within the at-risk population when community members actually
participate in the program.
Population attributable risk (PAR) is based on the assumption that the risk
factor is removed from the entire population being targeted. It also can be
used to calculate the cost benefit and the ____ of a prevention program.
a) Cost effectiveness
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