RN exams community health practice questions, set 45

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RN exams community health practice questions set 45

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 RN exams exam guide or more RN 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

According to the critical theoretical perspective, which should be held responsible for many of the illnesses of Americans today?

  1. A. Advertisers who market sugar- and fat-saturated food products
  2. B. Alcoholic beverage manufacturers, marketers, and sellers
  3. C. Manufacturers of products that increase morbidity and mortality
  4. D. Restaurants that attempt to keep meal costs low
Show answer and rationale

Correct answer: A — Advertisers who market sugar- and fat-saturated food products

According to the critical theoretical perspective, advertisers who market sugar- and fat-saturated food products should be held responsible for many of the illnesses of Americans today. This perspective suggests that these advertisers prioritize profit over public health, leading to the promotion of unhealthy foods that contribute to widespread health issues such as obesity, diabetes, and heart disease. By influencing consumer choices through marketing strategies, these advertisers play a significant role in shaping the dietary habits and health outcomes of the population. This aligns with the perspective that social structures and economic systems can perpetuate inequalities and harm public health.

Question 2

Which statement best describes the major assumption of the Health Belief Model (HBM)?

  1. A. People will act if action is both easy and convenient.
  2. B. People will act if exposed to fear messages stressing their vulnerability.
  3. C. The major determinant of preventive health behavior is avoiding disease.
  4. D. The major determinant of preventive behavior is providing proper health education.
Show answer and rationale

Correct answer: C — The major determinant of preventive health behavior is avoiding disease.

The correct answer is C. The major assumption of the Health Belief Model (HBM) is that the main determinant of engaging in preventive health behavior is the desire to avoid disease. This model suggests that individuals are more likely to take action to prevent illness if they believe they are susceptible to the disease, the disease has serious consequences, preventive actions are effective in reducing the risk, and the benefits of taking action outweigh the barriers. This assumption focuses on the importance of perceived susceptibility and severity of the health threat in influencing behavior, rather than just the ease of taking action or exposure to fear messages as suggested in the other options.

Question 3

Which best describes what analytic epidemiology studies?

  1. A. The distribution of diseases and health conditions
  2. B. The causality (the how and why) of health and disease
  3. C. The patterns and frequency of health events
  4. D. The prevalence and incidence of health problems
Show answer and rationale

Correct answer: B — The causality (the how and why) of health and disease

Analytic epidemiology focuses on investigating the causality of health and disease, examining the how and why certain health outcomes occur. This type of study goes beyond just describing the distribution, patterns, frequency, prevalence, or incidence of diseases and health conditions. By utilizing various study designs such as cohort and case-control studies, analytic epidemiology aims to identify risk factors, determine associations, and establish causal relationships between exposures and health outcomes. Understanding the causality behind diseases is crucial for developing effective prevention and control strategies, making option B the most appropriate description of analytic epidemiology.

Question 4

What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy lifestyle behaviors, such as daily exercise or healthy food choices?

  1. A. Emphasis on other lifestyle choices, such as not smoking and minimal use of alcohol or drugs, is also needed.
  2. B. All of us must work together to make unhealthy behaviors socially unacceptable.
  3. C. It costs more to make healthy choices, such as buying and eating fresh fruits and vegetables as opposed to quick and cheap fast-food choices.
  4. D. Public policy emphasizes personal responsibility but ignores social and environmental changes needed for well-being.
Show answer and rationale

Correct answer: D — Public policy emphasizes personal responsibility but ignores social and environmental changes needed for well-being.

The primary problem seen in Healthy People 2020's emphasis on choosing healthy lifestyle behaviors, such as daily exercise or healthy food choices, is that public policy tends to emphasize personal responsibility without addressing the social and environmental factors that influence well-being. While individual choices are important, societal changes and environmental factors play a significant role in shaping health outcomes. It is crucial for public policy to consider and address these broader social and environmental determinants of health to effectively promote well-being and prevent disease. This approach ensures a more comprehensive and sustainable impact on population health outcomes.

Question 5

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

  1. A. Hypoalbuminemia
  2. B. Polyuria
  3. C. Hyperglycemia
  4. D. Hypernatremia
Show answer and rationale

Correct answer: A — Hypoalbuminemia

The correct answer is A: Hypoalbuminemia. Nephrotic syndrome involves the kidneys excreting large amounts of protein, including albumin, leading to low levels of albumin in the blood. This can result in generalized edema due to decreased oncotic pressure and fluid shifting into the interstitial spaces. Polyuria (increased urination) is more commonly associated with conditions like diabetes insipidus or uncontrolled diabetes mellitus. Hyperglycemia is a characteristic finding in diabetes mellitus, not nephrotic syndrome. Hypernatremia (elevated sodium levels) is not a typical finding in nephrotic syndrome. Therefore, the nurse should expect hypoalbuminemia in a child with nephrotic syndrome.

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Question 6

Which health-related variable is examined by the critical theoretical perspective?

  1. A. Cultural beliefs
  2. B. Effect of history and tradition
  3. C. Ethnic and racial differences
  4. D. Social inequalities
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Question 7

A nurse is caring for a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

  1. A. Hypotension
  2. B. Hypernatremia
  3. C. Weight gain
  4. D. Hypoglycemia
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Question 8

A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following instructions should the nurse include?

  1. A. Apply permethrin 1% cream to the scalp.
  2. B. Use lindane shampoo to wash the child\'s hair.
  3. C. Seal non-washable items in plastic bags for 14 days.
  4. D. Soak combs and brushes in boiling water for 10 minutes.
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Question 9

A nurse was becoming frustrated. She had given her client extensive information on his health problem, but the client continued to be noncompliant in making needed changes. Which principle had the nurse forgotten?

  1. A. A person may have a higher priority than improving his or her health.
  2. B. Information, while necessary, will not motivate people to change.
  3. C. People need repetition over time to be able to absorb information.
  4. D. Physicians, not nurses, are perceived as experts in health.
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Question 10

Which term best describes the occurrence of a disease in excess of normal expectancy?

  1. A. Epidemic
  2. B. Outbreak
  3. C. Pandemic
  4. D. Endemic
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Question 11

A nurse has a broad, aggregate focus when providing care to clients. Which best describes how this approach will help improve client outcomes?

  1. A. Ensures that collaborative efforts of many professionals will be used
  2. B. Confirms the individual’s responsibility for resolving the health problem
  3. C. Empowers decision-making based on both individual and community goals, needs, and priorities
  4. D. Enables the nurse to ask for assistance from other community professionals
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Question 12

A new public health nurse carefully assessed all the local mortality and morbidity data in preparation for making appropriate planning suggestions at a meeting next week. What other action is crucial before the nurse can feel prepared?

  1. A. Ask other nursing staff their perceptions of the community’s needs.
  2. B. Assess the nurse’s own assets, strengths, and ability to contribute.
  3. C. Meet members of the community to determine their culture and values.
  4. D. Review discussions and decisions from previous meetings.
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Question 13

A nurse is assessing a child who has suspected appendicitis. Which of the following findings should the nurse expect?

  1. A. Pain in the left lower quadrant
  2. B. Pain in the right lower quadrant
  3. C. Periumbilical pain
  4. D. Pain that improves with movement
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Question 14

How does community health nursing define community?

  1. A. A group of persons living within specific geographic boundaries
  2. B. A group of persons who share a common identity and environment
  3. C. A group of persons who work together to meet common goals
  4. D. A group of persons who resolve a community concern
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Question 15

Which statement best summarizes Pender’s Health Promotion Model?

  1. A. It focuses on individual characteristics, behavior-specific cognitions, and behavioral outcomes.
  2. B. It focuses on explaining why people engage in health actions.
  3. C. It focuses on the interplay between individual, family, and community.
  4. D. It focuses on individual health-related behaviors and environmental factors.
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About these RN exams community health questions

RN exams community health practice questions, set 45 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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