COMMUNITY HEALTH NURSING

1. A nurse educator who is explaining the definition of CHN would select which of the following? CHN is:
a. Nursing care provided to clients in the community.
b. A term used to identify nurses providing care through state and local health departments.
c. A general term for all nurses providing care outside of an acute care setting.
d. The practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences.

2. Which of the following nurses will have the best understanding of the mission of community health nursing? The nurse who:
a. Understands the needs of the individuals and families that comprise the populations with which they work.
b. Gets to know each individual and family that he is working with.
c. Is diligent about keeping abreast of new treatments and technologies.
d. Provides the most appropriate care to individuals within the community.

3. A community health nurse exemplifies true advocacy by:

a. Providing occupational health screenings within industrial sections of the city.
b. Helping to open a free clinic to underserved clients within a private, affluent hospital.
c. Securing a grant for a wellness vehicle to provide health screenings at homeless shelters.
d. Providing teaching and education sessions to new teenage mothers in a public school setting.

4. A community health nurse witnesses the final function of advocacy when she sees:
a. A need for a free service clinic to underserved women in the community
b. The need for continuing services of a free health care clinic and attends a city council budget meeting.
c. Community members attend a city council meeting to report on the positive effects and continuing needs of the free, women's health
clinic.
d. A record of individuals who utilize a free health care clinic.

5. A community health nurse determines that a high number of school-aged children are not immunized and decides to understand
why. This nurse is demonstrating which attribute of community health nursing?
a. Collaboration b. Autonomy c. Population consciousness d. Orientation to health

6. The community health nurse is assisting a community group in finding acceptable transportation services for the elderly of the
community. This is an example of which step of the counseling process?
a. Second step b. First step c. Third step d. Fourth step

7. A school nurse, who is working with a young student, decides to set up a meeting with the parents, the principal, and the teacher.
In this situation, the nurse is working in the role of:
a. Coordinator. b. Educator. c. Collaborator. d. Liaison.

8. The community nurse has been asked to investigate a sudden outbreak of symptoms among restaurant patrons. This nurse will be
acting as a:
a. Change agent. b. Community mobilizer. c. Case finder. d. Educator.

9. A nurse working at the state level is involved in legislation affecting an underserved group within a community. The nurse's role is
best described as:
a. Coalition builder. b. Community mobilizer. c. Change agent. d. Policy advocate

10. Which attribute allows the community health nurse to influence the action of the local city commission leaders in taking an active
role regarding the health of their community?
a. Coalition builder b. Policy advocate c. Change agent d. Leadership

11. The community health nurse educator is explaining the theory of "humors" as they pertain to health. Who of the following is
credited with this theory?
a. Empedocles b. Galen c. Hippocrates d. Fabia

12. Care of the sick & caring for the welfare of others became to be known as a responsibility, mainly due to which of the following?
a. Events of the Middle Ages b. Crusades c. Rise of Christianity d. The Capture of Jerusalem

13. Of the following religious groups, which one was best suited for the role of the present-day nurse?
a. Benedictine order c. Hospitaler Dames of the Order of St. John of Jerusalem
b. Knights Hospitalers of St. John of Jerusalem d. Augustinian order

14. A community health nurse is delivering a presentation to seek funding for a free clinic to serve the poor population. Citing events
from the seventeenth century, which of the following would this nurse include in the presentation?
a. The work of St. Francis DeSales and Madame de Chantal c. The Renaissance
b. The Poor Law d. The rise of the practice of Ayurveda

15. When delivering a history of community health nursing in Canada, the community health nurse educator will most certainly
include which person in the presentation?
a. Jeanne Mance b. Anatastacia Tupaz c. Rebecca Gratz d. C. Turner
16. A group of nurse midwives are preparing a time line of the historical events of their profession. What might be one of the early entries?
a. Hebrew Female Benevolent Society of Philadelphia c. Edwin Chadwick's publications
b. The Lying-in Charity for Attending Indigent Women in Their Homes d. The Fair Labor Standards Act

17. In a review of the beginnings of home health nursing, which group is recognized as providing care in this setting?
a. The Lying-in Charity for Attending Indigent Women in Their Homes c. The Massachusetts Sanitary Commission
b. Ladies' Benevolent Society d. The Act for Relief of Sick and Disabled Community Health

18. When teaching about immunization techniques, the community health nursing educator reminds students that which of the following
was the first to practice inoculation?
a. William Jenner b. Lady Mary Montagu c. Ottoman Turks d. Timoni

19. Which of the following historical figures first used the term district nursing?
a. William Rathbone b. Theodor Fliedner c. Elizabeth Frye d. Florence Nightingale

20. A home health agency adapted the mission to care for the sick in their homes and provide education, but only secondary to care.
This is most like the philosophy of:
a. Dorothea Dix. b. Lillian Wald. c. Clara Barton. d. Margaret Sanger

21. A community health nurse educator uses historical examples to teach how health practices and environmental factors led to past
outbreaks of disease. This is an example of which model?
a. Nursing b. Conceptual c. Theoretical d. Epidemiologic

22. A community health nurse is studying whether or not a recent outbreak of E. coli can be linked to fresh lettuce and how it is
packaged. This nurse is looking at the ______of the outbreak.
a. causality b. effect c. both A and B d. biological link

23. A community health nurse is presenting an education session regarding smoking cessation. An appropriate target group would be:
a. Teen smokers. b. Non-smokers. c. Parents of teen smokers. d. Former smokers.

24. A community of 250,000 reports 5,000 cases of hepatitis B. The rate of occurrence in this community is:
a. 10 cases in 1,000. b. 20 cases in 1,000. c. 2 cases in 1,000. d. 20 cases in 2,500.

25. A community health nurse is configuring the morbidity rate for breast cancer within a group of factory workers. The nurse would
need to know the:
a. Number of cases of breast cancer among these workers. c. Number of new cases of breast cancer each year.
b. Number of deaths due to breast cancer. d. Number of women who have family history of the disease.

26. The prevalence of scurvy among maritime travelers in early days of sea travel would be an example of disease caused by which
type of agent?
a. Nutritive b. Chemical c. Genetic d. Physical

27. A community health nurse is researching the recent outbreak of sexually transmitted diseases within a local middle school
population. The nurse will explore the different attitudes and education approaches to the subject of STDs as well as decide where
efforts to control this outbreak will be most effective. Which epidemiologic model does this approach represent?
a. Biological b. Conceptual c. Triad d. Web of causation

28. A community health nurse is analyzing the community resources that helped prevent an influenza outbreak, while surrounding
communities were experiencing high numbers of flu cases. The nurse would focus on the community's:
a. Stressor penetration. b. Reconstitution. c. Normal line of defense. d. Lines of resistance.

29. The nurse in charge of a college's student health service is interested in implementing education aimed at positive lifestyle
choices. Which category of the health dimension model would be the best fit for the nurse to utilize in this endeavor?
a. Biophysical b. Physical environmental c. Socio-cultural d. Behavioral

30. A CHN is presenting nutrition classes for clients that have anorexia nervosa. This is an example of nursing intervention at which level?
a. Primary prevention b. Tertiary prevention c. Health promotion d. Secondary prevention

31. A CHN educator is presenting material regarding environmental health and is focusing on the natural environment. Included in
this context would be information about: (Select all that apply.)
1. Weather and climate 2. Terrain 3. Plants 4. Buildings and spaces
a. 1, 2, 3 b. 1, 2 c. 2, 3, 4 d. All of the above

32. A community health nurse is working with a group of residents in an older part of the city. Because many of them live in older
buildings, which of the following should the nurse include in the checklist for a safe environment?
a. Fertilizer run-off b. Lead levels in the water c. Pesticide levels in the water d. CO2 levels

33. A client visits the BHU reporting frequent GI distress and states that even though she has seen numerous physicians, no one has been
able to identify a cause of the problem. With an understanding of environmental health, the nurse questions the client regarding:
a. Exposure to radiation. b. Quality of air in their environment. c. The level of noise in the workplace d. Exposure to pesticides.
34. A CHN is working with city planners to implement a variety of environmental health activities at the primary level. Which of the
following would be appropriate?
a. Screening for high levels of lead c. Working with city council members to set up a program for radon screening
b. Making referrals to physicians for chemical exposure testing d. Assisting in the development of a walking trail.

35. Working in the secondary level of prevention for the betterment of environmental health, the nurse would:
a. Lobby at the state level for increased funding for wellness programs.
b. Help organize a city-wide campaign for sidewalk improvement.
c. Provide assistance to apartment dwellers to remove lead-based paint from their walls.
d. Set up classes to teach community members how to conduct wellness exercise sessions.

36. A nurse is working with a family to help it adjust to a child's developmental delays following exposure to lead. This would be an
example of which level of prevention?
a. Health promotion b. Tertiary c. Secondary d. Primary

37. A community health nurse has developed an educational program with a local pest exterminator company. One of the objectives
is to help consumers identify ways to keep their homes pest-free. This is an example of:
a. Health promotion. b. Tertiary. c. Primary prevention. d. Secondary

38. A community health nurse is seeing the child of a family who recently moved into a new house. The child has been experiencing
problems with rash and respiratory symptoms. The nurse should assess which aspect of the environment?
a. Structural environment b. Animals or pets c. Climate or terrain d. Plants and foliage

39. Following heavy flooding, a PHN is concerned with the safety of a community's water supply after unseasonably warm weather. The
nurse monitors the community's health for several months. Rationale for this concern is based on the knowledge that:
a. Insect vectors breed in water. c. Groundwater contamination occurs within two months.
b. Water can be contaminated with hepatitis A virus. d. Urban sewage contaminates drinking water.

40. A public health nurse is making an assessment of the overall health of a community. After looking at factors in the community
that affect health, the next step would be to:
a. Plan interventions. b. Evaluate the interventions. c. Identify the population age groups. d. Set goals for the health of the community

41. Which of the following statements is not true about community organizing (CO)?
a. CO means empowering people c. CO is both a process and an orientation
b. CO is an approach to transform the apathetic into participatory community d. The organizer will make the decisions for the community

42. A practical approach for the effective provision of health services that is community-based, accessible, acceptable and
sustainable at a cost which the community can afford:
a. Primary Health Care b. Community development c. Community organizing d. Community diagnosis

43. Which of the following strategies will promote self-reliance in a community?

a. Regular monitoring of community health workers c. Establishment of an effective health referral system
b. Training of the community on leadership and management skills d. Multi-sectoral and interdisciplinary linkages

44. The student nurse realizes that the father of community organizing is:
a. Lilian Wald b. Saul Alinsky c. Anastacio Tupas d. Eric Tayag

45. Under the restructured health care delivery system, a physician, a public health nurse and midwives compose the:
a. Barangay Health Workers b. Intermediate level health workers c. Grassroot health workers d. Core group

SITUATION: The BSN class of 2016 is preparing for their COPAR activities at Baranggay.
46. The community was chosen based on the following criteria, except:
a. Population of at least 500 families b. The leaders are amenable c. High prevalence of diseases d. No RHU

47. In identifying a host family for students, the organizer should understand which of the following criteria, except:
a. Should belong to an affluent family c. Neighbors are not hesitant to enter the house
b. Respected by formal and informal leaders d. No member of the host family should be moving out in the
community

48. During entry phase, the BSN class should be reminded of the following guidelines. Which is not included?
a. Inform the local authorities of their presence c. Lifestyle should be in keeping with those of the community
b. Keep a low-key profile d. Make an ocular survey of the potential

49. Core group’s functions include all but one:

a. Serve as a training ground for democratic and collective leadership
b. To decide for the undecided community members
c. Help organizer gather data for deeper community studies and identify potential secondary leaders
d. Helps in laying out plans for formation of a community-wide organization

50. The community organizers can leave the community when which of the following is achieved?
a. The community is self-reliant c. When community members are already actively participating in community-wide undertakings
b. When goals are achieved d. All of these

51. The PHN is planning several health education programs and focuses on the assumption that members of the community will be
able to make informed health decisions. She is utilizing which of the following concepts of public health nursing?
a. Public health b. Rule of social structures c. Preventive medicine d. Self-control

52. Having a sound understanding of health promotion, the nurse works to implement programs within the community that provide
opportunities for clients to become involved with and provide input in health policies. This is an example of a(n):
a. Educational model of health promotion. c. Medical model of health promotion.
b. Behavioral model of health promotion. d. Socioeconomic model of health promotion

53. The nurse is working with several agencies in planning to send a group of health care providers on a mission. One of the goals of
the mission is to assist the local health care providers with environmental and sanitary conditions, while respecting their cultural
beliefs and practices. The nurse is emphasizing which WHO strategy to promote global health?
a. Development of environments that support health c. Development of healthy public policy
b. Reorientation of health services to a health promotion focus d. Advocacy for conditions favorable to

54. A school nurse is working with several students who have a history of abusing alcohol on a regular basis. Based on interaction
with these students, the nurse takes the role of assuming that these students do not understand the significance of their actions.
Which stage of the Precaution Adoption Process model are these students portraying?
a. Stage 3 b. Stage 4 c. Stage 2 d. Stage

55. The nurse is working with a client who has physical therapy ordered three times per week as part of rehabilitation from a stroke.
The client's spouse is not able to get them to the physical therapy department until late in the afternoon, and the client is unable to
access the public transportation system in their neighborhood. The couple has no children who can help out. Even though the client
understands the need for therapy, he or she cannot get there. This is an example of which component of the PRECEDE-PROCEED
model of health promotion?
a. PRECEDE b. PROCEED c. Reinforcing factors d. Personal factors

56. The PHN decides to present a health promotion activity to high school students. The nurse implements a panel discussion with
recent graduates-some who used alcohol, some who did not-and offers information about alcohol abuse among teens. This nurse is
utilizing which strategy of health education?
a. Social marketing b. Positioning strategy c. Promotion d. Marketing mix

57. PHN is presenting a health education class to a group of senior citizens regarding exercises to promote cognitive health. As part
of the program, the nurse presents a slide presentation and handouts. Which of the learning domains is the nurse working through?
a. Affective domain b. Psychomotor domain c. Cognitive domain d. Perceptual domain

58. PHN begins the unit with an entirely new concept to students. In assessing the health education needs of the students, this
educator must first:
a. Identify learning goals. c. Develop objectives.
b. Find out what the students understand about the concept. d. Prioritize learning needs.

59. A home health client tells the nurse he has been researching his newest medication on the Internet. In assisting this client and
evaluating the information they received, which of the following is the best response by the nurse?
a. "Show me the material you found." c. "I think your doctor should explain any questions you might have."
b. "It's better to receive this type of information from your pharmacist." d. "Information from the Internet is usually not reliable."

60. This is known as the composite expression of the social and cultural circumstances that conditions and constrains behavior:
a. Health promotion b. Health education c. Values d. Life style

61. The community health nurse is working with a family consisting of two parents and no children living in the home. The nurse
categorizes this family as a(n):
a. Extended. b. Nuclear. c. Conjugal. d. Nuclear dyad.

62. When working with families, the nurse may view the family as context or client. Which one of the following examples
demonstrates the view of the family as context?
a. The family’s ability to support the client’s dietary and recreational needs
b. The client’s ability to understand and manage his or her own dietary needs
c. The family’s demands on the client based on his or her role performance
d. The adjustment of the client and family to changes in diet and exercise

63. The nurse is observing for the signs of a healthy family. In an assessment of a healthy family, the nurse expects to find that:
a. Change is viewed as detrimental to family processes. c. The structure is flexible enough to adapt to crises
b. A passive response exists to stressors. d. Minimal influence is exerted on the environment.

64. A community health nurse is making an assessment of a group of children in a community day care setting, most of whom live in
single-parent family settings. The nurse makes a point to check with the children's teachers in regard to:
a. Specific health concerns. b. Parental involvement. c. Signs of sexual abuse. d. Behavior problems.
65. A nurse is working with family groups and realizes there are a number of remarried parents retaining joint child custody. The
nurse documents these children specifically as part of which family type?
a. Stepfamily b. Single parent c. Nuclear dyad d. Bi-nuclear

66. A CHN is working with a family in which the parents lived together for three years prior to marriage. The nurse realizes that this
family is at greater risk for:
a. Living below poverty level. b. Teen pregnancies. c. Illness. d. Divorce/Separation.

67. A school nurse has been working with children of a blended family for several months. At one meeting, the children raised the
issue of how to make the transition easier for themselves as well as their parents, and volunteered to implement several ideas the
nurse suggested. This is an example of:
a. Goal setting. b. Input. c. Throughput. d. Output.

68. While completing a family assessment, the nurse is using information about stages of the family, what is normal for this stage,
and how this particular family has adapted to the stage. This nurse is utilizing which theoretical model?
a. Duvall b. McGoldrick c. Carter d. Erikson

69. A nurse educator requires the students to prepare a genogram of the clients they cared for in home health. The nurse is utilizing
which theoretical model?
a. Developmental b. Structural-functional c. Duvall's model d.

70. A community health nurse is assessing a family that is experiencing crises. Of the following, which would be documented as
maturational crises? Select all that apply
1. Death of a grandparent 2. Child starts college 3. New job 4. Parent’s remarriage
a. 1, 2, 3 b. 2, 3, 4 c. 2, 3 d. All of the these

71. A home health nurse is working with a client who has several open wounds. Soiled bandages from dressing changes, and
equipment used for this client should be:
a. Brought to the local landfill so as not to mix with the client's regular waste.
b. Handled as regular garbage, but marked as "Hazardous Waste."
c. Disposed of in the same manner as the client's garbage.
d. Handled in the same manner as if the client were in a clinical setting.

72. A referral to the home health agency has been made. As the nurse makes plans to see the client, several steps need to be
accomplished. Arrange the following in the correct order for the home visit, from the first step to the final step (5).
1. Prioritize client needs 4. Review previous interventions 2. Implement visit 5. Make nursing hypotheses 3. Make a preliminary assessment
a. 3, 5, 4, 1, 2 b. 3, 4, 5, 1, 2 c. 3, 1, 4, 5, 2 d. 3, 1, 2, 5, 4

73. A home health nurse is evaluating the effectiveness of the visits to a particular client. Which of the following reflects evaluation
of a primary preventive measure?
a. The client's mobility and range of motion measurements after physical therapy sessions.
b. The client's weight after nutrition therapy was instituted.
c. The client's blood pressure measurements after initiating treatment for hypertension.
d. The number of times the client attended health education classes

74. A home health nurse is making a visit to a client whose dwelling does not have running water. The best way for the nurse to
practice standard precautions in this case would be to:
a. Have the client meet the nurse at the closest health agency.
b. Only perform non-invasive procedures or assessments.
c. Use waterless hand cleaner before, during, and after the visit.
d. Make a referral to social services, as this client should not be living in a home without running water.

75. A home health nurse visits a client who was referred following hospitalization for severe malnutrition related to GERD and a large
hiatal hernia. Of the following, which statement reflects evaluation of a secondary prevention measure? The client
a. Gained two pounds in the past month. c. Relate the importance of taking a daily vitamin.
b. Will relate the importance of maintaining diet high in nutrient quality. d. Can state the side effects of her medications

76. A home health nurse is making an initial visit to a new client. The nurse had developed a preliminary assessment prior to the
visit to the client, who was referred after hospitalization for a total hip replacement. The client lives alone. Of the following, which
would be the next step in the home visit? The nurse will:
a. Evaluate the home for any mobility concerns (i.e. stairs, carpets, uneven sidewalk, etc.).
b. Validate the information collected prior to the visit.
c. Monitor the client's progress in mobility.
d. Refer the client to physical therapy

77. A home health nurse is visiting an established client who was referred following hospitalization for a myocardial infarction. The
client lives with a spouse and the nurse is assessing the client's knowledge regarding resuming normal activities. The nurse has been
trying unsuccessfully to gain information about the client's resumption of sexual activity, but the client consistently changes the
subject to questions about medications. This is an example of a(an):
a. Nurse-oriented distraction. b. Environmental distraction. c. Physical distraction. d. Behavioral distraction.
78. A home health nurse is completing an initial visit to a client. Of the following, which would be the most important to document?
a. Discharge summary. c. Referrals made to outside agencies.
b. The client's physical assessment. d. The objectives developed by the nurse prior to the visit

79. A client has been receiving home health care for approximately four weeks. The physician has referred the client to a pulmonary
rehab program because of complications of chronic obstructive pulmonary disease (COPD). The client is an 87-year-old widow with
various other chronic conditions and tells the nurse that she won't be going to rehab because it seems more bother than what it will
be worth. The nurse should:
a. Convince the client that rehab would be in her best interest.
b. Make sure the client's family will persuade her to consider rehab.
c. Let the physician know the client won't be going to rehab.
d. Tell the client that her physician has determined that this is the best course of action

80. A hospice client has decided to remain in his own home until death. The client requires 24/7 nursing care and during the first
overnight care by hospice nursing staff, they realize that the client's home is infested with cockroaches. The hospice nurse should:
a. Help the family make arrangements for pest control measures immediately.
b. Refuse to visit the home until the situation is taken care of.
c. Tell the client's family that the client does not qualify for hospice services because of the condition in the home.
d. Make an immediate referral for social services and move the client to a long-term care facility

81. Hidden costs associated with health issues in the workplace include: (Select all that apply.)
1.Low productivity. 2.Employee turnover. 3.Accidents. 4.Costs related to sickness. 5.Poor-quality work.
a. 1, 2, 3, 4 b. 1, 3, 5 c. 1, 2, 3, 5 d. All of these

82. An occupational health nurse is working with a local hospital to develop several different programs for health promotion. The efforts
came about as a result of community survey among factory workers, who identified the absence of health promotion activities offered in
accordance with shift changes at several industrial plants. This is an example of which level of services in the public health focus?
a. Prevention level b. Individual c. Systems d. Community behaviors

83. Among the standards for nursing in the occupational health field, one will find the code of ethics that includes: SATA
1. Safeguarding employees rights to privacy. 3. Maintaining personal competence.
2. Protecting the rights of the employers. 4. Safeguarding employees from unethical or illegal actions.
a. 1, 3, 4 b. 1, 2, 3 c. 1, 3 d. All of these

84. An occupational health nurse is reviewing the statistics of the previous month's injuries among employees. Addressing the needs
of all workers, but understanding the statistics of workplace injuries, the nurse should:
a. Focus attention of workplace safety on the older worker.
b. Make sure older workers have a safer environment, as they are more prone to accidents.
c. Mandate that employees under age 25 attend quarterly safety in-services.
d. Provide suggestions to enhance the creativity of older workers, which will help their overall safety habits.

85. An occupational health nurse is working in a business where many Asian refugees are employed. Understanding the health
concerns of this particular ethnic group, the nurse will:
a. Monitor the number of work-related injuries. c. Provide blood pressure checks on a monthly basis.
b. Keep diligent track of TB screening results. d. Provide hepatitis B vaccine to all employees.

86. A nurse employed by gas company & large number of the employees are truck drivers that deliver petroleum to smaller distributorships.
Understanding the risks associated with this particular group, the nurse will be sure to perform annual screens that focus on:
a. Hypertension. b. Skin problems. c. Vision. d. Cognition and memory

87. An occupational health nurse working within a hospital setting would serve the nursing personnel best by providing what type of
in-service on a regular basis?
a. Infection control b. Stress reduction c. Pain management d. Body mechanics

88. A nurse working for a large business has noticed after annual health screenings that among the young adult population, there
are a high number of employees with high BP and high cholesterol. Understanding how psychological factors affect overall health, the
nurse should also screen for:
a. Anxiety disorder. b. Bi-polar disorder. c. Depression. d. Schizophrenia.

89. A nurse is providing health care to employees in a large factory. Aside from in-service on body mechanics and prevention of
musculoskeletal injuries, the nurse should next be sure that employees are:
a. Aware of mental health services within the community. c. Provided information about stress reduction.
b. Provided ear protection. d. Screened annually for hypertension

90. For workplace having a total of over 400 workers, Health and Safety Committee shall compose of the following members: 1. The
manager or his authorized representative as Chairman 5. The physician 2. The safety man as Secretary 6. Four workers as
members 3. Two department heads as Members 7. The union head as Chairman 4. The company nurse
a. 1, 2, 3, 5, 6 b. 1, 2, 3, 4, 5, 6 c. 1, 2, 3, 5 d. 7, 2, 6, 5

91. A client visits the community health office. During the initial interview, the nurse learns that the client is not working, even
though she is only 45-years old, and states that "it's just too difficult" to get anything done. The client also states that she frequently
has difficulty with pain, especially when the seasons change. Understanding the incidence of chronic disease, the nurse should ask
the client about which of the following?
a. Asthma b. Chronic Obstructive Pulmonary Disease c. Heart disease d. Arthritis

92. A CHN is conducting a hypertension-screening clinic. Because of the nurse's understanding of chronic disease, the screen should
test for:
a. Chronic Obstructive Pulmonary Disease. b. Stress. c. Diabetes. d. Heart disease.

93. A public health nurse is aware that a particular community has a high incidence of several chronic diseases including
hypertension and circulatory problems, as well as high rates of coronary artery bypass surgeries. Aside from genetic and stress-
related factors, which environmental element should the nurse investigate?
a. Soil and ground b. Structures c. Air quality d. Drinking water

94. During a "Women's Day" health fair, a community health nurse addresses the incidence of breast cancer and screening activities.
Which group of women may not be aware of their heightened risk for breast cancer? Women who:
a. Work nights. c. Have a family history of breast cancer.
b. Women who eat low-fat diets. d. Are over age 50.

95. A community health nurse is working to help improve the sociocultural health dimension in a particular neighborhood. Select the
following activities the nurse could help implement that would be examples of sociocultural factors affecting the development of
chronic disease: SATA
1. Promoting media coverage regarding benefits of education.
2. Involving the residents of the community with programs that help with job re-training.
3. Providing education to construction companies that specialize in remodeling old apartment buildings.
4. Working with local factories to improve wage and benefits.
a. 2, 3, 4 b. 3, 4 c. 1, 2, 4 d. All of

96. A nurse researcher studying the chronic health problems associated with obesity understands that education efforts regarding
prevention must begin early. The nurse decides to focus on consumptive patterns & chooses the following as an appropriate
activity?
a. Help parents understand specific behaviors associated with increased risk for obesity, such as a child's sedentary lifestyle.
b. Teach an exercise class for after-school programs to implement.
c. Educate providers of school lunch programs regarding portion control and appropriate meal size.
d. Implementing a non-smoking campaign in a local middle school.

97. A CHN has been working with a local school system in its efforts to control tobacco use by their students. An example of a health
promotion activity for this situation would be:
a. Screening students for asthma or other respiratory problems.
b. Educating instructors on how to recognize students who may be using tobacco.
c. Helping to enforce penalties on store owners that sell tobacco to minors.
d. To promote compliance by teaching a smoking cessation class about the effects of tobacco.

98. A public health nurse is aware of an increased number of diabetes cases in a particular area of a city that is mainly inhabited by
poor, unemployed citizens who do not have insurance. A secondary prevention measure aimed at the population level that would
promote early treatment would be:
a. Helping newly diagnosed clients how to prevent further problems of their disease.
b. Surveying this particular group regarding information about dietary preferences, exercise, and family history.
c. Assisting a local hospital with funding to provide for free, monthly, random blood sugar testing.
d. Educating teachers in the local school system how to identify signs and symptoms of diabetes.

99. A CHN is assisting a client with chronic pain in achieving an acceptable level of pain management. The client has done much
research on pain management techniques and has kept a journal outlining details of techniques that have helped in the past, as well
as those that did not help with their symptoms. The nurse has found several community resources that the client was able to utilize
as well. Which model of self-management does this represent?
a. Economic model b. Self-agency model c. Collaborative model d. Medical model

100. The four main types of noncommunicable diseases include all but one:
a. CVD b. Cancer c. COPD d. Arthritis

THAT IN ALL THINGS GOD MAY BE GLORIFIED…GOD DOES NOT GIVE YOU ALL THE THINGS YOU WANT, HE GIVES YOU
THE THINGS YOU NEED…
I WISH YOU ENOUGH…