LPN exams community health practice questions, set 13
LPN exams · community health
LPN exams community health practice questionsset 13
You think beyond the bed: populations, culture, and the referral that actually gets used. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the LPN exams exam guide or more LPN exams practice questions.
Five community health questions with answers
Cover the key. Write the first action. Then open the rationale and name why the other choices fail.
Question 1
Staff members have agreed to implement evidence-based practice; they have chosen a specific problem and searched the literature. The group has selected the interventions that seem the easiest to implement. What should be the staff's next step?
A. Assessing the quality of the evidence in the literature
B. Deciding how best to orient the staff and community to the proposed changes
C. Eliminating all nursing interventions that are not evidence based
D. Choosing another specific problem for the next literature search \
Show answer and rationale
Correct answer: A — Assessing the quality of the evidence in the literature
The correct answer is A: Assessing the quality of the evidence in the literature. After selecting interventions, it is crucial to evaluate the quality of evidence to ensure effectiveness and reliability. By assessing the evidence, staff can determine the validity and applicability of the interventions to their specific problem. This step helps in making informed decisions and avoiding potential harm from implementing interventions based on weak or biased evidence.
Summary of other choices:
B: Deciding how best to orient the staff and community to the proposed changes - Important, but not the immediate next step.
C: Eliminating all nursing interventions that are not evidence based - Premature without assessing the quality of evidence first.
D: Choosing another specific problem for the next literature search - Not necessary at this point; evaluating current interventions is more crucial.
Question 2
Which teaching strategy should the nurse use to enhance learning when teaching a community CPR program?
A. Use passive learning strategies
B. Present materials from simple to complex
C. Role-relationship
D. Assume learners have the same baseline knowledge
Show answer and rationale
Correct answer: B — Present materials from simple to complex
The correct answer is B: Present materials from simple to complex. This teaching strategy is effective because it allows learners to build upon their existing knowledge gradually, making it easier for them to understand and retain information. By starting with simple concepts and moving towards more complex ones, the nurse can ensure that participants grasp the fundamentals before moving on to advanced topics.
A: Using passive learning strategies is ineffective for teaching CPR, as hands-on practice and active participation are crucial for skill acquisition.
C: Role-relationship is not directly related to enhancing learning in a CPR program and may not be as effective as presenting materials in a structured manner.
D: Assuming learners have the same baseline knowledge can lead to confusion and gaps in understanding, as individuals may have varying levels of prior knowledge on the topic.
Question 3
RA 7160 mandates the devolution of basic services from the national government to local government units. What is the primary goal of this devolution?
A. To strengthen local government units
B. To allow greater autonomy to local government units
C. To empower the people and promote their self-reliance
D. To make basic services more accessible to the people
Show answer and rationale
Correct answer: C — To empower the people and promote their self-reliance
The correct answer is C: To empower the people and promote their self-reliance. This is the primary goal of devolution under RA 7160. Devolution aims to transfer power and resources to local government units, enabling them to be more responsive to the needs of their constituents. By empowering the people and promoting self-reliance, communities can actively participate in decision-making, leading to more effective and sustainable development.
Choice A (To strengthen local government units) is not the primary goal, although it may be an outcome of devolution. Choice B (To allow greater autonomy to local government units) is related to the goal but not as comprehensive as promoting self-reliance. Choice D (To make basic services more accessible to the people) is a potential benefit of devolution but not the primary goal, which is focused on empowering the people and promoting self-reliance.
Question 4
In the year 1980, the World Health Organization declared the Philippines, together with some other countries in the Western Pacific Region, "free†of which disease?
A. Pneumonic plaque
B. Poliomyelitis
C. Small pox
D. Anthrax
Show answer and rationale
Correct answer: C — Small pox
The correct answer is C: Small pox. In 1980, the World Health Organization declared the Philippines and other countries in the Western Pacific Region "free" of smallpox due to successful global vaccination campaigns. Smallpox is a highly contagious and deadly disease caused by the variola virus. It was eradicated worldwide in 1980, making it the first and only human disease to be eradicated through vaccination efforts.
Explanation of incorrect choices:
A: Pneumonic plague - Plague is caused by the bacterium Yersinia pestis. Pneumonic plague is a severe form of the disease, but it was not declared eradicated in 1980.
B: Poliomyelitis - Polio is a viral disease that affects the nervous system. While there have been successful vaccination campaigns against polio, it was not declared eradicated in 1980.
D: Anthrax - Anthrax is a bacterial infection that can affect both animals and humans
Question 5
A nurse researcher wants to get information on the occurrence of an internationally
A. Which of the following websites would be the best place to seek this information?
B. The United Nations
C. The WHO
D. The World Bank
Show answer and rationale
Correct answer: C — The WHO
The correct answer is C: The WHO. The World Health Organization (WHO) is the most appropriate choice for seeking information on the international occurrence of health-related issues. The WHO is a specialized agency of the United Nations responsible for international public health. It collects, analyzes, and disseminates global health data and statistics. The WHO collaborates with countries worldwide to address health challenges and provides guidance on health policies and programs. The other choices, the United Nations and the World Bank, are not specialized in public health data collection and analysis like the WHO. The United Nations is a broader organization covering various global issues, and the World Bank primarily focuses on economic development and poverty reduction. Therefore, the WHO is the best source for accurate and comprehensive information on international health occurrences.
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Question 6
Which of the following statements is not correct regarding family planning?
A. Family planning services should be made available to those who need them.
B. It is the responsibility of every parent to determine whether to have children, when, or how many.
C. Family planning is geared towards individual and family welfare.
D. The ultimate goal of family planning is to prevent pregnancies.
Correct answer:
The correct answer is D because the ultimate goal of family planning is not solely to prevent pregnancies but to promote individual and family well-being. Family planning encompasses various aspects such as helping individuals and families make informed choices about the number and spacing of their children, access to healthcare services, and overall reproductive health. Option A is correct as making family planning services available to those who need them is essential for promoting reproductive health. Option B is also correct as it emphasizes the role of parents in making decisions about having children. Option C is correct as family planning indeed aims to improve the welfare of individuals and families. Therefore, option D is not correct as the ultimate goal of family planning is not limited to preventing pregnancies, but it includes broader aspects of promoting health and well-being.
What was one of the main objectives of the Public Health Act of 1848 in the United Kingdom?
A. To establish vaccination programs
B. To improve housing conditions
C. To create national health insurance
D. To develop public sanitation systems
Correct answer:
The correct answer is D: To develop public sanitation systems. The Public Health Act of 1848 aimed to improve public health by addressing unsanitary living conditions. This included measures to develop public sanitation systems such as sewage disposal and clean water supply. This objective was crucial in reducing the spread of diseases and improving overall health outcomes.
Incorrect choices:
A: To establish vaccination programs - While vaccination is important for public health, the focus of the Public Health Act of 1848 was on sanitation and hygiene.
B: To improve housing conditions - While housing conditions impact public health, the main focus of the act was on sanitation rather than housing.
C: To create national health insurance - The concept of national health insurance was not a primary objective of the Public Health Act of 1848, which mainly focused on sanitation measures.
What action by a nurse demonstrates cultural humility in client-centered care?
A. Using complex medical terminology to show expertise
B. Assuming that the nurse's cultural practices are universally applicable
C. Adapting care practices to align with the client's cultural preferences
D. Disregarding the client's input and family's opinions in decision making
Correct answer:
Cultural humility in client-centered care involves recognizing and respecting the cultural diversity of clients. Choice C is correct because adapting care practices to align with the client's cultural preferences demonstrates a willingness to understand and accommodate the client's beliefs, values, and practices. This approach fosters a trusting relationship and promotes culturally sensitive care delivery.
Explanation for Incorrect Choices:
A: Using complex medical terminology may alienate the client and hinder effective communication, showing a lack of cultural humility.
B: Assuming that the nurse's cultural practices are universally applicable disregards the uniqueness of each client's cultural background, which goes against cultural humility.
D: Disregarding the client's input and family's opinions in decision making is not client-centered and does not reflect cultural humility.
This year 600 of 8000 young women ages 17 to 20 years at a university health center tested positive for a sexually transmitted infection (STI). What does this finding represent?
A. An epidemic
B. Incidence
C. Prevalence
D. Risk
Correct answer:
The correct answer is C: Prevalence. Prevalence refers to the proportion of a specific population that has a particular condition at a specific point in time. In this case, the finding of 600 out of 8000 young women testing positive for an STI represents the prevalence of STIs among women aged 17 to 20 at the university health center.
Rationale:
1. Epidemic (A) is incorrect because the term refers to a sudden increase in the number of cases of a disease in a specific population, which is not indicated in the question.
2. Incidence (B) is incorrect because it refers to the rate of new cases of a disease within a specified time period, not the total number of existing cases at a particular point in time.
3. Risk (D) is incorrect because it refers to the probability of an individual developing a specific condition, not the proportion of the population that currently has the condition.
Which international event marked the beginning of a global effort to address public health disparities and health inequities?
A. The launch of the Global Health Security Agenda
B. The establishment of the World Health Organization
C. The Declaration of Alma-Ata
D. The introduction of the Millennium Development Goals
Correct answer:
The correct answer is C: The Declaration of Alma-Ata. This event marked the beginning of a global effort to address public health disparities and health inequities by emphasizing primary healthcare as a fundamental right for all. It recognized the importance of addressing social determinants of health and promoting equity in health services. The other choices are incorrect because:
A: The Global Health Security Agenda focuses on preventing, detecting, and responding to infectious disease threats, not specifically on health disparities.
B: The World Health Organization was established in 1948 and plays a crucial role in global health, but it does not specifically mark the beginning of addressing health disparities.
D: The Millennium Development Goals aimed to address global challenges such as poverty, education, and gender equality, but did not specifically focus on health disparities.
A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which of the following actions is the best example of using the collaborator role as a nurse?
A. Discussing the legal aspects of adoption for teens wishing to place their infants with a family
B. Searching the Internet for information on child care for the teens who wish to return to school
C. Conducting a patient interview and documenting the information on the patient's chart
D. Referring a teen who admits having suicidal thoughts to a mental healthcare specialist
Correct answer:
The correct answer is D. Referring a teen with suicidal thoughts to a mental healthcare specialist is the best example of using the collaborator role as a nurse. This action demonstrates collaboration with other healthcare professionals to ensure the patient receives appropriate care beyond the nurse's scope of practice. By involving a mental healthcare specialist, the nurse is utilizing a multidisciplinary approach to address the teen's mental health needs effectively. This aligns with the collaborator role of a nurse, which involves working with other healthcare providers to optimize patient outcomes.
A: Discussing legal aspects of adoption is more aligned with the educator role.
B: Searching the Internet for information on child care is more aligned with the researcher role.
C: Conducting a patient interview is part of the caregiver role, not specifically the collaborator role.
According to the World Health Organization study, which nursing activity addresses the number one psychiatric cause of disability in the world today?
A. Arranging for a client's transportation to Alcoholics Anonymous meetings
B. Helping the family understand their mother's obsessive-compulsive disorder
C. Offering a depression screening at a local school for students in grades 8 through 12
D. Providing nursing care at a free clinic that serves the schizophrenic population in a large city
Correct answer:
The correct answer is C because offering a depression screening at a local school for students in grades 8 through 12 addresses the number one psychiatric cause of disability in the world today, according to the World Health Organization study. Depression screening in schools can help identify mental health issues early, leading to timely intervention and support for students. This proactive approach aligns with the WHO's focus on addressing mental health challenges globally.
Choices A, B, and D are incorrect because they do not directly address the number one psychiatric cause of disability as identified by the WHO study. Arranging transportation to Alcoholics Anonymous meetings, helping a family understand OCD, and providing nursing care for the schizophrenic population are important activities but do not specifically target the primary psychiatric cause of disability worldwide.
A community health nurse has taken the Promoting Cultural and Linguistic Competency Self- Assessment Checklist for Personnel Providing Primary Health Care Services and is reviewing the results. Which action describes how the results of this self-assessment checklist should be utilized?
A. To identify areas for self-improvement
B. To determine readiness for job advancement
C. To rate job performance
D. To discipline an employee
Correct answer:
The correct answer is A: To identify areas for self-improvement. The self-assessment checklist is intended to help the nurse reflect on their cultural and linguistic competency skills. By reviewing the results, the nurse can identify areas where they may need to improve their knowledge or skills. This allows the nurse to develop a plan for self-improvement and continue providing quality care to diverse populations.
B: To determine readiness for job advancement - This choice is incorrect because the self-assessment checklist is not designed to evaluate readiness for job advancement.
C: To rate job performance - This choice is incorrect because the checklist is focused on cultural and linguistic competency, not overall job performance.
D: To discipline an employee - This choice is incorrect as the checklist is meant for self-assessment and improvement, not disciplinary action.
Which is the primary goal of community health nursing?
A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of
B. To enhance the capacity of individuals, families and communities to cope with their health needs
C. To increase the productivity of the people by providing them with services that will increase their level of health
D. To contribute to national development through promotion of family welfare, focusing particularly on mothers and children
Correct answer:
The correct answer is B: To enhance the capacity of individuals, families, and communities to cope with their health needs. Community health nursing focuses on empowering individuals, families, and communities to take control of their health and well-being. This is achieved through health education, promotion of healthy behaviors, and providing support to help individuals cope with their health challenges.
Choice A is incorrect because while community health nursing does support the medical profession, its primary goal is not just to supplement their efforts but to empower individuals and communities. Choice C is incorrect as the primary goal is not solely to increase productivity but to improve overall health and well-being. Choice D is incorrect as the focus of community health nursing is not limited to family welfare and mothers and children, but includes the entire community.
A nurse gives detailed information on how to apply for Medicaid to a new mother who moved to the United States from Russia about 10 years ago. The nurse's next client is an African-American mother of newborn twins who worked until the children were born. The nurse knows the woman is eligible to maintain her insurance after her employment was lost and does not discuss insurance options at all. Which of the following errors is being made by the nurse?
A. Covert intentional prejudice
B. Covert unintentional prejudice
C. Overt intentional prejudice
D. Overt unintentional prejudice
Correct answer:
The correct answer is D: Overt unintentional prejudice. The nurse's action of not discussing insurance options with the African-American mother implies a bias or assumption that the mother may not need or qualify for assistance, which is a form of prejudice. The prejudice is overt because it is evident in the nurse's behavior, but it is unintentional because the nurse may not be consciously aware of their bias. This error highlights the importance of cultural competence and avoiding assumptions based on race or ethnicity.
A: Covert intentional prejudice - This choice does not apply as the nurse's actions are not intentionally discriminatory.
B: Covert unintentional prejudice - This choice does not apply as the nurse's bias is evident in their behavior.
C: Overt intentional prejudice - This choice does not apply as the nurse's actions are not intentional acts of discrimination.
LPN exams community health practice questions, set 13 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
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