BSN Community and Public Health Nursing 3

Question 1

A community health nurse is calculating the incidence rate of new HIV diagnoses in a city. Which data are required to calculate the incidence rate?

Accepted Answer

Number of new HIV cases in a specified time period divided by the at-risk population

Answer

Total number of people currently living with HIV divided by the total population

Answer

Number of HIV-related deaths divided by the total number of HIV cases

Answer

Number of new cases divided by the total number of previously existing cases

Question 2

A public health nurse is planning a health education session for older adults on fall prevention. Which intervention has the strongest evidence for reducing fall risk in the elderly?

Accepted Answer

Tai chi and balance exercise programs

Answer

Wearing hip protectors at all times

Answer

Removing all rugs and throw mats from the home

Answer

Taking calcium and vitamin D supplements

Question 3

A home health nurse is visiting a patient with congestive heart failure (CHF). Which finding requires the nurse to contact the provider immediately?

Accepted Answer

Weight gain of 3 lbs in 2 days

Answer

Blood pressure of 130/82 mmHg

Answer

Patient reports sleeping with two pillows

Answer

Mild ankle edema present at end of day

Question 4

A public health nurse is identifying factors contributing to high infant mortality rates in an underserved community. Which action falls within the nurse's scope of community-level advocacy?

Accepted Answer

Lobbying local officials for expanded prenatal care access and WIC program funding

Answer

Performing home visits only for patients who specifically request them

Answer

Treating individual patients with high-risk pregnancies in the clinic

Answer

Educating one mother at a time about the importance of prenatal vitamins

Question 5

A nurse is conducting a community needs assessment using a windshield survey. What does this method involve?

Accepted Answer

Systematically observing a community by driving or walking through it to gather data

Answer

Reviewing health department statistics and hospital discharge data

Answer

Conducting structured interviews with community leaders

Answer

Distributing health questionnaires to community households

Question 6

A nurse working at a county health department is notified of a confirmed case of meningococcal meningitis in a college dormitory. What is the nurse's priority public health action?

Accepted Answer

Identify close contacts and coordinate prophylactic antibiotic treatment for them

Answer

Close the dormitory and test all 500 residents

Answer

Administer the meningococcal vaccine to all close contacts immediately

Answer

Wait for the laboratory to confirm the bacterial strain before taking action