Community Health Verified Questions and Answers Test Bank -N

Extract:

Question 1 of 5

A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following

A. Decreased positive predictive valueB. Decreased reliabilityC. Decreased sensitivityD. Decreased specificity

Correct Answer: A

Rationale: The correct answer is A: Decreased positive predictive value. In clients with AIDS, the immune system is compromised, leading to false-negative results on tuberculosis skin tests. This decreases the accuracy of the test in correctly identifying true positive cases, hence reducing the positive predictive value. Decreased reliability (
B) implies inconsistency, which is not specifically related to AIDS affecting the immune response. Decreased sensitivity (
C) means the test may miss true positives, but this is more about the test's ability to detect cases rather than the predictive value. Decreased specificity (
D) would result in more false positives, which is not the primary concern in AIDS patients.

Question 2 of 5

A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right

A. Which of the following terms best describes how the nurse is feeling?B. Cultural conflictC. Cultural relativismD. Culture shock

Correct Answer: D

Rationale: The correct answer is D: Culture shock. Culture shock refers to the feeling of confusion, disorientation, and anxiety experienced when a person encounters a new and unfamiliar cultural environment. In this scenario, the nurse is feeling helpless and confused after transitioning from a hospital setting to a community setting, indicating a struggle to adapt to the new cultural context. Cultural conflict (
B) refers to conflicts arising from differing cultural beliefs or values, which is not the main issue in this scenario. Cultural relativism (
C) is a concept that suggests understanding and respecting other cultures without necessarily experiencing shock.
Therefore, it is not the best term to describe the nurse's feelings.

Question 3 of 5

A school nurse wants to decrease the incidence of obesity in elementary school children. Which of

A. Giving a presentation on the importance of exercise and physical fitnessB. Designing a game in which students select healthy food choicesC. Weighing students to identify those who are overweightD. Putting students on a diet if they weigh greater than 20% of their ideal weight

Correct Answer: A

Rationale: The correct answer is A because giving a presentation on the importance of exercise and physical fitness can educate and motivate elementary school children to adopt healthy habits. This approach focuses on prevention rather than intervention, which is crucial in addressing obesity.
Choice B may help raise awareness but might not necessarily lead to behavior change.
Choice C could lead to stigma and negative body image among students.
Choice D is inappropriate as putting students on a diet without proper medical supervision can be harmful. Overall, choice A is the most effective in promoting long-term lifestyle changes for obesity prevention.

Question 4 of 5

volved nurses. Typically

A. any unusual increase in incidence should be investigated. But in the majority of cases the increased incidence occurs naturally and/or is predictable when compared with the consistent patterns of previous outbreaks. Many illnesses are seasonal. Seasonal affective disorder (depression) often worsens during the shorter periods of daylight in the winter. 10. Which aspect of a biological agent is probably the most frightening to those exposed? Infectivity refers to the capacity of an agent to enter a susceptible host and produce infection or disease. Invasiveness is the ability of an agent to get into a susceptible host. Pathogenicity measures the proportion of infected people who develop the disease. Virulence refers to the proportion of people with clinical disease who become severely ill or die. It is assumed people could cope with illness but possible death is truly frightening for most. 1. Which of the following describes the purpose of surveillance systems today? (Select all that apply.) Although surveillance was initially devoted to monitoring and reducing the spread of infectious diseasesB. it is now used to monitor and reduce chronic diseases and injuriesC. as well as environmental and occupational exposures. With tight budgetsD. public health workers must know which programs should be developed and continued based on the most commonly occurring public health problems. Evaluation of the effectiveness of programs requires valid and reliable data. 2. A public health department becomes aware of an impending health problem before any problem is reported to the agency. Which of the following has most likely occurred within the community? (Select all that apply.) Doctors feeling rushed and nurses calling in ill are not unusual events. Syndronic surveillance systems were developed to monitor illness syndromes or events

Correct Answer: A

Rationale: The correct answer is A because it explains the importance of investigating any unusual increase in incidence while considering natural patterns and predictability. It emphasizes the significance of understanding seasonal variations and the potential impact on health. This approach helps in distinguishing between expected fluctuations and potentially alarming situations. This mindset is crucial in public health surveillance to differentiate between regular occurrences and potential outbreaks, allowing for timely intervention and control measures. In contrast, the other choices do not focus on the need to investigate unusual increases or the importance of considering natural patterns, making them less relevant in the context of public health surveillance.

Question 5 of 5

Using the National CLAS as a guide, which service should be offered to clients who have LEP?

A. Availability of interpreter services at a minimal feeB. Language assistance in the client's preferred languageC. Interpretation services using family membersD. Trained interpretation within 48 hours of hospital admission

Correct Answer: B

Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS standards, providing language assistance in the client's preferred language is essential to ensure effective communication and quality care for individuals with Limited English Proficiency (LEP). This approach promotes cultural competency and helps avoid misunderstandings or errors that can arise from language barriers. Offering interpreter services at a minimal fee (
A) may still pose a financial burden for some clients, contradicting the goal of equitable care. Using family members (
C) may compromise confidentiality and accuracy. Trained interpretation within 48 hours of hospital admission (
D) is not immediate and could lead to delayed or inadequate care for LEP clients.

Community Health Verified Questions and Answers Test Bank -Nurselytic

Nurselytic

ATI RN

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Community Health Verified Questions and Answers Test Bank Questions

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