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Chapter 20
Exam Review Questions
Exam Review Questions
This activity contains 10 questions.
A community health nurse is working in a clinic that serves a large number of homeless clients. Of the following, which would not meet one of the six principles of the WHO document:
Health Principles of Housing
?
The nurse helps assure that all clients have/are:
Protected against chronic disease.
Provided information on stress reduction.
Access to affordable health care.
Access to safe drinking water.
A community health nurse is surveying clients from a free clinic. Of the following clients, which are at greatest risk to contract HIV?
An elderly male.
A teenage runaway.
A middle-aged male.
An elderly female.
A public health nurse frequently visits homeless shelters to address health concerns or needs. Considering the environmental conditions within most homeless shelters, which of the following would be an appropriate secondary prevention measure for the nurse to implement?
Screening for high blood pressure
Education on prevention of STDs
TB screening
Nutritional education classes
Homeless children pose a particular challenge to the community health nurse. Of the following conditions, identify those of particular concern for the child who is homeless: (Select all that apply.)
Bronchitis
Anemia
Diabetes
Cancer
Diarrhea
A community health nurse is interviewing a teenage, homeless client. Of the following questions during the visit, which should the nurse ask first?
"Do you have a place to sleep tonight?"
"Do you have any allergies?"
"Are you taking any medication?"
"Have you ever considered suicide?"
A homeless client is explaining to the nurse how his apartment was taken over so the building could be refurbished. The nurse recognizes the area of the city being described and has seen some of the new condominiums which now exist in this same area. The is an example of:
Commercialization.
Urban Decay.
Remodeling.
Gentrification.
A community health nurse would like to survey homeless clients. Understanding the variables associated with the homeless population, the nurse decides to conduct the survey during one of the meals offered at a shelter. Before beginning, which of the following would be appropriate for the nurse to implement to elicit the best and most useful information?
Enlist the assistance of the local clinic that provides services to the homeless in the area.
Ask several of the homeless to help devise the survey tool.
Develop a tool based on the nurse's knowledge of health problems specific to the homeless population.
Check with local churches for information on homeless in the area.
From information gathered through the school system, the community health nurse identifies a large number of homeless children with asthma and chronic respiratory conditions. An appropriate nursing diagnosis for this situation would be:
Increased incidence for respiratory disease related to inappropriate medical care.
Activity intolerance, related to chronic respiratory condition.
Ineffective airway clearance, related to increased bronchial resistance.
Risk for homelessness, related to chronic health problems.
A nurse in a busy clinic is working with a family whose primary income earner has just been diagnosed with cancer and will require extensive treatment. The family has no health insurance or investment income. The nurse refers these clients to social services for support, particularly economic support, during this difficult time. This intervention focuses on which level of prevention?
Health promotion
Primary
Secondary
Tertiary
A community health nurse has set up evening workshops on money management and budget strategies in conjunction with a local clinic, which serves a large homeless population. What level of prevention does this represent?
Tertiary
Health Promotion
Secondary
Primary
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