Public Health Nursing 10th Edition Stanhope Test Bank
Chapter 06: Environmental Health Stanhope: Public Health Nursing: Population-Centered Health Care
... [Show More] in the Community, 10th Edition
MULTIPLE CHOICE
1. Why is it important for nurses to understand the premises of environmental health? a. Nurses should be able to assess risks and advocate for policies that support healthy environments.
b. Toxicologists often consult nurses about environmental pollutants. c. Pollutant exposures such as lead are reported by nurses to the Environmental Protection Agency (EPA).
d. Many Americans live in areas that do not meet current national air quality standards.
ANS: A Potential risks to health are concerns for professional nurses. It is the responsibility of the nurse to understand as much as possible about these risks: how to assess them, how to eliminate/reduce them, how to communicate and educate about them, and how to advocate for policies that support healthy environments. Toxicologists do not often consult nurses about environmental pollutants. Pollutant exposures are not routinely reported by nurses. Although there may be problems with air quality standards in the United States, this would not be the primary reason why nurses should understand environmental health.
DIF: Cognitive level: Understanding TOP: Nursing process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection ControlNURSINGTB.COM
2. Why is it important for a nurse to have knowledge of environmental health and the effects of chemical, biological, and radiological materials? a. They are a major cause of global warming. b. They are often found in the air, water, and products we use. c. They are frequently linked to the development of chronic illnesses. d. They are products that nurses work with daily.
ANS: B Chemical, biological, and radiological pollutants are often found in the air we breathe, the water we drink, and the products we use. These are not a major cause of global warming. They are not frequently linked to the development of chronic illnesses. These are not products that nurses work with daily.
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DIF: Cognitive level: Understanding
TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
3. A nurse fulfills the environmental health competency of “assessment and referral.” Which of the
following actions has the nurse most likely completed? a. Advocating for public policy changes
b. Understanding policy framework and major pieces of legislation
c. Completing an environmental health history
d. Describing the scientific principles about environmental health
ANS: C
Assessment and referral states that all nurses should be able to successfully complete an
environmental health history, recognize the potential environmental hazards and sentinel
illnesses, and make appropriate referrals for conditions with probable environmental causes.
Advocating for public policy changes is part of advocacy. Understanding policy framework
and legislation is part of legislation and regulation. Describing the scientific principles of
environmental health is part of basic knowledge and concepts.
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX:
Safe and Effective Care Environment: Safety and Infection Control
4. How have nurses historically learned to identify a possible relationship between environmental
chemical exposures and their potential harm? a. Extrapolation by toxicologists
b. Biomonitoring
c. Completing chemistry courses
d. Observing signs and symptoms in clients
ANS: D
Nurses have historically made discoveries related to chemical exposure when people
presented with signs and symptoms related to known chemical toxicity. Extrapolation by
toxicologists and biomonitoring are modern methods. Completing a chemistry course does
not show how to identify these possible relationships.
DIF: Cognitive level: Understanding
TOP: Nursing process: Assessment MSC:
NCLEX: Safe and Effective Care Environment: Safety and Infection Control
NURSINGTB.COM
5. What term is used to refer to the basic science applied to understanding the health effects
associated with chemical exposures? a. Toxicology
b. Pharmacology
c. Chemistry
d. Environmental epidemiology
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ANS: A
Toxicology is the study of the health effects associated with chemical exposures.
Pharmacology is the branch of medicine concerned with the multiple aspects of drugs.
Chemistry is the branch of science with deals with the way that matter is composed.
Environmental epidemiology is concerned with the discovery of environmental exposures
that cause or protect against illness or disease.
DIF: Cognitive level: Remembering
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
6. What statement accurately describes the characteristics of epidemiology?
a. It is a science that studies the poisonous effects of chemicals.
b. It explains the association between learning disabilities and exposure to lead-based paint
at the cellular level.
c. It helps nurses understand the strength of the association between exposure and
health effects.
d. It is a method for tracking the prevalence of health outcomes.
ANS: C
Epidemiology studies the incidence and prevalence of disease, helping nurses understand
the strength of the association between exposure and health effects. Toxicology is the
science that studies the poisonous effects of chemicals. Environmental surveillance provides
data with which to track and analyze the incidence and prevalence of health outcomes.
Epidemiology does not examine causes at the cellular level.
DIF: Cognitive level: Remembering
TOP: Nursing process: Assessment MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
7. When researching pesticides, the nurse looks at the “family” of the chemical. What similarities
are found among chemicals that have been placed in the same family? a. Route of entry into the
body
b. Actions and associated risks
c. Effects that they have on the body
d. Potency and toxicity
ANS: B
Chemicals are grouped so it’s possible to understand the actions and risks associated with
each group. Although some common health risks exist within these families of chemicals,
the possible health risks for each chemical should be evaluated individually when a potential
human exposure exists.
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DIF:MSC: Cognitive level: ApplyingNCLEX: Safe and Effective Care Environment: Safety and
Infection ControlNURS INGTB.TOP:COM Nursing process: Assessment
8. Which example contains the components necessary to form an epidemiologic triangle? a.
Pesticides, water, food
b. Lead, mercury, soil
c. Trichloroethylene, water, infants
d. Children under 12, elderly, temperature
ANS: C
The epidemiologic triangle consists of an agent (chemical), host (community consisting of
several variants), and environment (air, water, soil, etc.). The other examples do not contain
an agent, host, and environment.
DIF: Cognitive level: Analyzing
TOP: Nursing process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
9. When would it be appropriate for a nurse to use a Geographic Information System (GIS)?
a. Recording client data collected at a foot clinic
b. Identifying areas with an increased incidence of lead poisoning
c. Evaluating effectiveness of a farm safety program
d. Scheduling health promotion programs in the community
ANS: B
The use of a GIS allows the PHN to apply the principles of epidemiology into practice. GIS
allows nurses to code data so that it is related spatially to a place on earth and is helpful in
determining concentrated areas for incidence of disease and illness. An electronic health
record (EHR) would be the most appropriate place to record client data from a foot clinic.
Evaluation of effectiveness of a farm safety program would need to be done through some
type of assessment or evaluation method—GIS would not be useful to collect this data. GIS
is not a scheduling system and would not be helpful when scheduling health promotion
programs in the community.
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX:
Safe and Effective Care Environment: Safety and Infection Control
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10. A public health nurse (PHN) is organizing a multidisciplinary team to address the issue of water
pollution in the community. Which group of professionals would be invited to address this
issue?
a. Physicians, water sanitation workers, and occupational therapists
b. Pharmacologists, radiologists, and epidemiologists
c. Nurse practitioners, pharmacologists, and environmentalists
d. Geologists, meteorologists, and chemists
ANS: D
Scientists who study how pollutants travel in air, water, and soil are geologists,
meteorologists, and chemists. The other professionals are not experts in the area of water
pollution in the community.
DIF: Cognitive level: Analyzing
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of
CareNURSINGTB.COM
11. A nurse would identify which as a point source of air pollution?
a. A smoke stack
b. The number of cars and trucks
c. The amount of fossil fuel consumed in a community
d. Ground ozone levels
ANS: A
Point sources of pollution are identifiable sources of air pollution, such as a smoke stack.
Nonpoint sources come from more diffuse exposures, such as from cars and trucks. The
amount of fossil fuel that is consumed and ground ozone levels do not identify sources of air
pollution.
DIF: Cognitive level: Applying
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
12. A nurse is completing an exposure history using the mnemonic I PREPARE. What data would a
nurse collect when asking questions about the first “P”?
a. Present work
b. Potential exposures
c. Personal protective equipment use
d. Past work
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ANS: A
Present work is the first “P.” Potential exposures are part of the “I”—investigate potential
exposures. Personal protective equipment use is not part of the mnemonic. Past work is the
second “P.”
DIF: Cognitive level: Remembering
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
13. What is the greatest single source of air pollution in the United States?
a. Waste incineration
b. Power plants
c. Motor vehicles
d. Molds
ANS: C
Mobile sources such as cars and trucks are the greatest single source of air pollution in the
United States. Waste incineration and power plants are major contributors after motor
vehicles. Molds contribute to poor indoor air quality.
DIF: Cognitive level: Remembering
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
14. A nurse wants to find more information about indoor air quality. Which of the following
websites would be most helpful?
a. The National Institutes of Health (NIH)
b. The American Lung Association
c. “Right to Know” NURSINGTB.COM
d. The Occupational Safety and Health Administration (OSHA)
ANS: B
Indoor air quality is a growing public health concern in office buildings, schools, and homes
and is reflected in the alarming rise in asthma incidence in the United States, particularly
among children. Sources of information about indoor air quality include the EPA and the
American Lung Association. The NIH is part of the U.S. Department of Health and Human
Services (USDHHS) and is responsible for health and biomedical research. “Right to
Know” is part of a workplace safety legislation. OSHA regulates safety in factories and
businesses.
DIF: Cognitive level: Applying
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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15. Employees working with hazardous chemicals have the “Right to Know” about the chemicals
they are working with through the creation of which resource?
a. Material Safety Data Sheet (MSDS)
b. Consumer Confidence Report
c. Hazard Communication Standard
d. Environmental Protection Agency (EPA)
ANS: C
The Hazard Communication Standard requires employers to maintain a list of all hazardous
chemicals that are used on site. Each of the chemicals should have an associated chemical
information sheet known as an MSDS, which is written by the chemical manufacturer.
Consumer Confidence Reports summarize the results of the annual testing of the public
water supply. The EPA sets forth policies, regulations, and public laws for the safety of the
environment and the population.
DIF: Cognitive level: Understanding
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
16. What is considered a nonpoint source of pollution?
a. Hazardous waste site
b. Animal waste from wildlife
c. Chlorine poured down a well
d. Stagnant water
ANS: B
Nonpoint sources come from more diffuse exposures to pollution. Animal waste is the only
diffuse exposure given. The others are considered point sources; point sources are
individual, identifiable sources such as smoke stacks.
DIF: Cognitive level: Applying
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
17. A nurse is completing the first phase of a risk assessment. Which of the following questions
would the nurse most likely try to answer?
a. Has the chemical been released into the environment?NURSINGTB.COM
b. How much and by which route of entry can the chemical enter the body?
c. Is the chemical known to be associated with a negative health effect?
d. What is the prediction for potential harm?
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ANS: C
The first phase is determining if a chemical is known to be associated with negative health
effects (in animals or humans): Is the chemical known to be associated with a negative
health effect? The second step is determining if the chemical has been released into the
environment: Has the chemical been released into the environment? The third step is
estimating how much and by which route of entry the chemical might enter the human body:
How much and by which route of entry can the chemical enter the body? The final step
considers the previous steps: What is the prediction for potential harm?
DIF: Cognitive level: Analyzing
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
18. A nurse working at the individual level to reduce pollution in the environment would most
likely be involved in what activity?
a. Providing a tax incentive to factories that do not pollute
b. Making laws related to allowed levels of pollution in the area
c. Recycling paper, glass, cans, and plastic
d. Moving to an area with less pollution
ANS: C
Nurses can reduce pollution by doing their part, which can include choosing to recycle
paper, glass, cans, and plastic. Providing a tax incentive and creating laws would not be
completed at the individual level to reduce pollution in the environment. Moving to an area
with less pollution would not help to improve the problem.
DIF: Cognitive level: Applying
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
19. What is the first step the nurse would take when addressing the problem of air pollution in the
community?
a. Setting standards
b. Monitoring
c. Permitting
d. Compliance
ANS: C
Permitting is a process by which the government places limits on the amount of pollution
emitted into the air or water. Environmental standards may describe a permitted level of
emissions, a maximum containment level, an action level for environmental cleanup, or a
risk-based calculation. Monitoring is an ongoing process after an action has happened.
Compliance refers to the processes for ensuring that permit/standard/regulatory
requirements are met.
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DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: NCLEX:
Safe and Effective Care Environment: Safety and Infection Control
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20. A city sets the standard of an acceptable level of emissions or a maximum contaminant level
allowed for factories. Which concept is being applied?
a. Controlling pollution
b. Waste minimization
c. Land use planning
d. Environmental standard
ANS: D
An example of an environmental standard is an acceptable level of emissions or a maximum
contaminant level allowed. Although this does help to control pollution, environmental
standard is best applied in this example. Setting a standard for emissions does not impact
waste minimization or land use planning.
DIF: Cognitive level: Applying
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
21. A facility is inspected after it has obtained a permit. The inspection is completed for the
purpose of observing whether the plans submitted in the permit application are being
implemented as approved. Which of the following environmental protection strategies is being
applied?
a. Controlling pollution
b. Waste minimization
c. Land use planning
d. Environmental monitoring
ANS: D
Environmental monitoring would be an inspection of a facility after a permit is obtained to
observe whether the plans submitted in the permit application are being implemented as
approved. Permitting is an important step in controlling pollution. Waste minimization and
land use planning are activities aimed at prevention of pollution.
DIF: Cognitive level: Applying
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
22. Which environmental law sets basic structure for regulating pollutants to United States waters?
a. Safe Drinking Water Act
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b. Toxic Substance Control Act
c. Clean Water Act
d. Pollution Prevention Act
ANS: C
The Clean Water Act sets basic structure for regulating pollutants to United States waters.
The Safe Drinking Water Act authorized the EPA to establish safe standards of purity and
required all owners or operators of public water systems to comply with primary standards.
The Toxic Substance Control Act gives the EPA the ability to track the 75,000 industrial
chemicals currently produced or imported into the United States. The Pollution Prevention
Act focused industry, government, and public attention on reduction of the amount of
pollution through cost-effective changes in production, operation, and use of raw materials.
DIF: Cognitive level: RememberingNURSING TB.
COM
TOP:
Nursing process:
Assessment MSC: NCLEX: Safe and Effective Care Environment: Safety and
Infection Control
MULTIPLE RESPONSE
1. A public health nurse (PHN) working with a family living in poverty is concerned about their
exposure to environmental hazards. Which of the following factors should the nurse identify as
possibly putting the family at risk? (Select all that apply.)
a. Limited funds to pay for health care
b. Poor nutrition
c. Homes located closer to hazardous waste sites
d. Less education
e. Unsafe working conditions
ANS: A, B, C
Families living in poverty are more likely to experience environmental justice issues such as
disproportionate environmental exposures. Substandard housing, living closer to hazardous
waste sites, working in more hazardous jobs, poorer nutrition, and less access to quality
health care all contribute to this issue. Although limited education is related to poverty, it is
not discussed as causing an increase in environmental exposure.
DIF: Cognitive level: Applying
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
2. A nurse is assessing for environmental health risks in the community. Which of the following
approaches would be most appropriate for the nurse to use? (Select all that apply.)
a. Asking legislators to provide a list of environmental pollutants in the area
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b. Developing a list of exposures associated with urban, rural, or suburban settings
c. Assessing the risk by medium such as air, water, soil, or food
d. Dividing the environment into functional locations: home, school, workplace, and
community
e. Recruiting community members to sign a petition to decrease pollution
ANS: B, C, D
Developing a list of exposures associated with urban, rural, or suburban settings, assessing
the risk by medium such as air, water, soil, or food, and dividing the environment into
functional locations: home, school, workplace, and community are ways a nurse can assess
the environment. Asking legislators for a list of pollutants or recruiting community members
to sign a petition are not effective means to assess for environmental health risks.
DIF: Cognitive level: Applying
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
NURSINGTB.COM
Chapter 41: The Nurse in Public Health, Home Health, Hospice, and Palliative Care
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
10th Edition
MULTIPLE CHOICE
1. How are official agencies financed primarily?
a. Charities
b. Individual clients
c. Third-party payers
d. Tax funds
ANS: D
Official agencies are financed primarily by tax funds. These agencies are typically operated
by state, county, city, or other local government units, such as health departments.
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DIF: Cognitive level: Understanding
TOP: Nursing process: Evaluation MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
2. Medicare-certified home health agencies place emphasis on what type of care? a. Chronic
b. Distributive
c. Intermittent
d. Primary
ANS:As part of the Conditions of Participation, Medicare C
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-certified home health agencies must place an emphasis on intermittent care. Home care
services that are provided must be intermittent and provide a skilled service. Primary care
refers to the care that is often provided in a physician’s office. Medicare-certified agencies
provide care following an acute hospitalization or medical change; they do not provide long-
term care for chronic illnesses.
DIF: Cognitive level: Understanding
TOP: Nursing process: Assessment MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
3. A home care nurse is employed by a proprietary agency. Which statement is true about such an
agency?
a. It is exempt from federal income taxes.
b. It is governed by a board of directors.
c. It is a profit-making agency.
d. It is reimbursed primarily by tax funds.
ANS: C
Proprietary agencies are profit-making agencies. Proprietary agencies are free-standing, for-
profit agencies that are required to pay taxes. Many are part of large chains and now
dominate the home care industry.
DIF: Cognitive level: Applying
TOP: Nursing process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. A nurse is coordinating care to ensure a comfortable and peaceful death. Which of the following
factors should be an important consideration for the nurse? a. The unique stress dying patients
often experience
b. The cultural values, expectations, and preferences of the family
c. The communication style of each family member
d. The abilities of the nurse and health care team
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ANS: B
Cultures vary in their beliefs and responses to death. Nurses should know the differences in
cultural responses so that they can effectively help people in their time of need. It will be
important for the nurse to take cues from the client and the loved ones regarding their needs.
The stress experienced by dying patients is different based on the client’s culture.
DIF: Cognitive level: Analyzing TOP: Nursing process: Planning MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
5. A nurse has referred a home care client to hospice care. Which of the following best explains
the rationale for this referral?
a. To provide comfort and peace at a difficult time
b. To reduce the cost of care for the terminally ill
c. To keep clients at home until the end of life
d. To provide care for terminally ill clients expected to live longer than 6 months
ANS: A
The focus of hospice care is comfort, peace, and a sense of dignity at a very difficult time.
Comprehensive services emphasize continuity of care. Hospice care is provided for those
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with a life expectancy of less than 6 months. Hospice is the only
Medicare benefit that includes medications, medical equipment, 24 hours/7 days a week
access to care, and support for family members after death. Hospice care does not reduce the
cost of care.
DIF: Cognitive level: Applying TOP: Nursing process: Evaluation MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
6. The nurse provides direct care services to a stroke victim to avoid complications. Which of the
following levels of prevention is being implemented? a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Assessment
ANS: C
Tertiary prevention includes those interventions aimed at disability limitation and
rehabilitation from disease, injury, or disability. Thus, direct care for a stroke victim is
focusing on limiting disability and encouraging rehabilitation. Primary prevention focuses
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on preventing the disease before it occurs. Secondary prevention focuses on early detection
and screening. Assessment is not a level of prevention.
DIF: Cognitive level: Applying
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
7. A nurse is providing a skilled nursing service. Which of the following best describes the
intervention the nurse is performing?
a. Teaching the client and family about medication administration
b. Consulting with other nurses about the care of a client in the home
c. Coordinating services for maximum benefit at minimal cost
d. Reviewing nursing assistant charting at the end of each day
ANS: A
Skilled nursing service is the Medicare term that describes the duties of the registered nurse
and refers to the requirement of nursing judgment. Those services involve assessment,
teaching, and selected procedures. Teaching the client and family to implement a therapeutic
plan, such as taking medications, is an example of a skilled nursing service. Consultation,
coordination, and review of documentation do not fit the definition of a “skilled nursing
service.”
DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: NCLEX: Safe
and Effective Care Environment: Management of Care
8. A nurse is employed in home health nursing practice. Which of the following terms best
describes the care that is being provided? a. Intermittent nursing care
b. Custodial care
c. Family caregiving
d. Palliative care
ANS: A
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Provision of intermittent skilled visits is a component of home health care nursing.
Custodial care refers to the care given in long-term care facilities. Family caregiving may be
an important role of keeping the client at home, but it is not a necessary component of home
care. Palliative care is an extended continuum of chronic serious illness to acute serious
illness during which stabilization and exacerbations may occur.
DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: NCLEX: Safe
and Effective Care Environment: Management of Care
9. Which organization publishes the current scope and standards of home care practice?
NURSINGTB.COMPublic Health Nursing 10th Edition Stanhope Test Bank
a. Centers for Medicare and Medicaid Services
b. American Nurses Association (ANA)
c. Robert Wood Johnson Foundation
d. Visiting Nurse Association
ANS: B
The ANA publishes scope and standards for Home Health Nursing and Hospice and
Palliative Nursing. The Centers for Medicare and Medicaid Services control the regulations
and reimbursement mechanisms for the majority of home care services. The Robert Wood
Johnson Foundation provides grant funding for a variety of projects that support nursing.
The Visiting Nurse Association is a home care agency.
NURSINGTB.COMPublic Health Nursing 10th Edition Stanhope Test Bank
DIF:
MSC:
Cognitive level: Understanding
Nursing process: Evaluation
NCLEX: Safe and Effective Care Environment: Management of Care
10. A nurse has discovered that a client should be receiving Meals on Wheels. Which of the
following steps of the nursing process is the nurse performing? a. Diagnosis
b. Planning
c. Assessment
d. Implementation
ANS: C
The Standards of Care and the Standards of Professional Performance both include the six
steps of the nursing process: (1) assessment, (2) diagnosis, (3) outcomes identification, (4)
planning, (5) implementation, and (6) evaluation. As a nurse performs an assessment, the
nurse recognizes the current needs of the client.
DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: NCLEX:
Safe and Effective Care Environment: Management of Care
11. Which concepts are used to evaluate client outcomes when using the Omaha System
Problem Rating Scale for Outcomes?
a. Problem, intervention, and outcome
b. Knowledge, behavior, and status
c. Knowledge, skill, and attitude
d. Problem, category, and modifiers
ANS: B
The Omaha System Problem Rating Scale for Outcomes uses the concepts of knowledge,
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behavior, and status.
DIF:
Cognitive level: Understanding
TOP: Nursing process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
12. After conducting a comprehensive client assessment, the nurse would organize information
about the client’s medication regimen into which domain of the Omaha System Problem
Classification Scheme? a. Environmental
TOP:
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b. Psychosocial
c. Physiological
d. Health-related behaviors
ANS: D
The Omaha System Problem Classification Scheme uses four domains to organize client
information. The Health-related behaviors domain includes information related to patterns
of activity that maintain or promote wellness, promote recovery, and decrease the risk of
disease. The environmental domain includes material resources and physical surroundings
both inside and outside the living area. The psychosocial domain includes patterns of
behavior, emotion, communication, relationships, and development. The physiological
domain includes functions and processes that maintain life.
Cognitive level: Analyzing
Nursing process: Implementation
NCLEX: Safe and Effective Care Environment: Management of Care
13. A nurse is using the Omaha System Problem Classification Scheme. Which of the following
situations is the nurse most likely experiencing? a. Measuring client outcomes
b. Collaborating with other professionals
c. Providing health education
d. Organizing a comprehensive assessment
ANS: D
The Omaha System Problem Classification Scheme is used to organize a comprehensive
assessment according to four priority domains. It’s simple and concrete terms are used to
organize a comprehensive assessment, an important standard of nursing practice. It does not
measure client outcomes, promote collaboration with other professionals, or provide health
education.
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX:
Safe and Effective Care Environment: Management of Care
14. A community health nurse is using the Omaha System. Which of the following best
describes the rationale for using this system?
a. To define each health care provider’s role
b. To use nursing diagnoses in community health nursing practice
c. To foster collaborative practice
d. To provide practitioners a method for communication
TOP:
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DIF:
MSC:
ANS: C
TOP:
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The goals of developing the Omaha System were to develop a structured and
comprehensive system that could be both understood and used by members of various
disciplines and to foster collaborative practice. Therefore, the Omaha System was designed
to guide practice decisions, sort and document pertinent client data uniformly, and provide a
framework for an agency-wide, multidisciplinary clinical information management system
capable of meeting the daily needs of clinicians, managers, and administrators.
DIF:
Cognitive level: Analyzing TOP: Nursing process: Evaluation MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
15. A nurse is trying to facilitate interprofessional collaboration. Which of the following
actions should be taken by the nurse?
a. Understand who oversees the client’s care.
b. Make appropriate referrals.
c. Recognize what other professionals do and how they view their roles.
d. Request assistance when performing complex skills.
ANS: C
The factors for successful interprofessional functioning include the categories of
knowledge, skill, and attitudes with subheadings including the understanding of the roles of
each professional.
Cognitive level: Analyzing
Nursing process: Planning
NCLEX: Safe and Effective Care Environment: Management of Care
16. A home care agency has applied for accreditation from the Joint Commission. What is the
next step the agency will take?
a. Attend a conference to learn more about the accreditation process.
b. Schedule a site visit with the Joint Commission.
c. Complete a self-study of the agency.
d. Improve methods of documentation of client visits.
ANS: C
After applying for accreditation, a lengthy self-study must be completed that addresses all
aspects of the agency’s operation. Following completion of the self-study, an accreditation
team schedules a site visit. Attending a conference to learn more about accreditation should
be done before applying. A site visit with the Joint Commission occurs after the self-study
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DIF:
MSC:
has been reviewed. Improving methods of documentation of client visits should be
addressed before applying for accreditation.
DIF:
Cognitive level: Applying TOP: Nursing process: Planning MSC:
NCLEX: Safe and Effective Care Environment: Management of Care
17. Which historical event caused dramatic changes in home care nursing?
a. Passage of Medicare legislation
b. Establishment of Visiting Nurse Associations
c. Creation of the Montefiore Hospital Home Care Program
d. Provision of funds by the Civil Works Administration
ANS: A
NURSINGTB.COM
Medicare introduced regulations for home care practice as well as for reimbursement
mechanisms.
DIF:
Cognitive level: Understanding
TOP: Nursing process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
18. A nurse is using telehealth technology in the home setting. Which of the following
best describes the intervention that is being used by the nurse? a. Uses Web TV to
teach clients about their health.
b. Shares health information using electronic communications.
c. Makes regular visits to clients to check the technology.
d. Risks violation of the Health Insurance Portability and Accountability Act.
ANS: B
Telehealth includes sharing health information between the client and clinicians using
electronic communications. Telehealth may or may not include video technology for live
interactions. Telehealth allows for monitoring health status and symptom recognition,
providing education, increasing communication, and enabling clients to become active
partners in their own care.
DIF: Cognitive level: Applying
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
TOP:
NURSINGTB.COMPublic Health Nursing 10th Edition Stanhope Test Bank DIF: MSC: TOP: [Show Less]