NSG420 COMMUNITY NURSING

Revised 02/2019 1

FINAL EXAM

NSG420 COMMUNITY NURSING

CH 1

• A community is concerned about the threat of bioterrorism. Which of the following best describes

the basis for this concern?

• Bioterrorism has the potential to dissolve community-based programs.
• This threat could cause the health care system to collapse.
• The threat of bioterrorism may divert funds from other public safety health care

programs.

• Fear of bioterrorism will increase the need for shelters.

ANS: C

Bioterrorism may have an impact on the availability of resources for public safety health care programs. Because funds are diverted it is possible that community-based programs would be eliminated, the health care system could experience changes, and that there would be an increase in the need for shelter. However, all of these things would happen because of the diversion of funds.

DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis MSC: NCLEX: Psychosocial Integrity

• A nurse provides for the availability of essential personal health services for people who would

otherwise not receive health care. Which of the public health core functions is being used?

• Assessment
• Prevention
• Assurance
• Policy development

ANS: C

Assurance deals with the availability of health services. Prevention is not a core function, assessment refers to systematic data collection, and policy development refers to the need to provide leadership in developing health policies.

DIF: Cognitive level: Applying REF: p. 6 TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance

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Revised 02/2019 2

• The nurse is investigating environmental health problems caused by contaminated ground water.

Which of the following types of nursing practice is being used?

• Community-oriented
• Community-based
• Policy development
• Tertiary care

ANS: A

Community-oriented nursing emphasizes the prevention of disease and disability. Community- based nursing practice is a setting-specific practice whereby care is provided for clients and families where they live, work, and attend school. Policy development seeks to build constituencies that can help bring about change in public policy. Tertiary care focuses on highly specialized medical care.

DIF: Cognitive level: Analyzing REF: p. 16 (Box 1-5) TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance

END CH 1

CH 4

• A nurse is examining the income levels and social networks of individuals in a community. Which of

the following is the nurse investigating?

• Culture
• Development
• Community
• Determinants

ANS: D

Determinants are conditions and factors that are important considerations in population health.Culture refers to the beliefs and customs of a certain group. Development refers to something that is being created. Community is a group of people living in the same geographic location.

DIF: Cognitive level: Applying REF: p. 66 TOP: Nursing process: Assessment MSC: NCLEX: Safe and Effective Care Environment: Management of Care

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Revised 02/2019 3

• A nurse is assessing a refugee who fled the genocide in Darfur. Which of the following

disease/disorder should the nurse anticipate finding?

• TB
• Post-traumatic stress disorder (PTSD)
• Chronic obstructive pulmonary disorder (COPD)
• Malnutrition

ANS: B

The biopsychological changes seen following genocide include physical stress reactions (cardiovascular, neurological) and mental stress responses, especially PTSD and depression. The biopsychosocial changes are the major concern over any physical illnesses that may be present.

DIF: Cognitive level: Analyzing REF: p. 87 TOP: Nursing process: Assessment MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control End CH 4

CH 6

• A nurse has used the steps of the ethical decision-making process when making a decision. Which of

the following is most similar to this process?

• Healthy People 2010
• Deontology
• The nursing process
• Advocacy

ANS: C

The steps of the ethical decision-making framework are to first identify the ethical issues and dilemmas, then place them within a meaningful context, obtain all relevant facts, reformulate ethical issues and dilemmas if needed, consider appropriate approaches to actions or options, make decisions and take action, and evaluate decisions and action. The nursing process involves the same basic steps: assessment, diagnosis, planning, implementation, and evaluation. Healthy People 2010, deontology, and advocacy do not involve these multiple steps described by the ethical decision-making framework and the nursing process.

DIF: Cognitive level: Analyzing REF: p. 124 (Table 6-1) TOP: Nursing process: Implementation MSC: NCLEX: Safe and Effective Care Environment: Management of Care

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Revised 02/2019 4

• A nurse is applying the ethical principle of non-maleficence. Which of the following describes the

action that the nurse is taking?

• Administering medications using the “five rights”
• Allowing clients to be active participants in their care
• Providing patient privacy when delivering care
• Referring a client to a physical therapist

ANS: A

Non-maleficence requires that one do no harm. It requires that health care professionals act according to the standards of due care, always seeking to produce the least amount of harm possible. Providing privacy when delivering care demonstrates the client’s right to privacy.Allowing clients to be active participants in their care refers to the ethical principle of the right to autonomy. Referring a client to a physical therapist demonstrates the nursing role of referral agent.

DIF: Cognitive level: Analyzing REF: p. 126 (Box 6-2) TOP: Nursing process: Implementation MSC: NCLEX: Safe and Effective Care Environment: Management of Care

• A nurse refers to the Code of Ethics for Nurses or the Public Health Code of Ethics. Which of the

following describes why the nurse has referred to this document?

• To provide answers for ethical dilemmas
• To guide professional practice related to ethics
• To increase moral leadership in ethics
• To find a framework for ethical decision making

ANS: B

These codes provide general ethical principles and guide personnel in thinking about the underlying ethics of the profession. They do not provide answers for ethical dilemmas, only serve as a guide. They do not increase moral leadership, nor do they provide a framework for ethical decision making.

DIF: Cognitive level: Applying REF: p. 132 TOP: Nursing process: Planning MSC: NCLEX: Safe and Effective Care Environment: Management of Care

END CH 6

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