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Population and Community Health Nursing 6th Edition Clark Instructors Manual

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Population and Community Health Nursing 6th Edition Clark Instructors Manual

ISBN-13: 978-0133859591

ISBN-10: 0133859592

 

Description

Population and Community Health Nursing 6th Edition Clark Instructors Manual

ISBN-13: 978-0133859591

ISBN-10: 0133859592

 

 

 

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Free Nursing Test Questions:

 

Chapter 30

Societal Violence

 

  1. The population health nurse is discussing child abuse with a group of new elementary teachers. One of the teachers asks who is most likely to be the perpetrator of child abuse. What should the nurse respond?
  2. Strangers.
  3. Babysitters.
  4. Parents.
  5. Siblings.

 

Answer: 3

 

Explanation: 3. Perpetrators of child abuse tend to be family members, typically parents.

More parents are involved in child abuse than are strangers, babysitters, or siblings.

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive Level: Application

Learning Outcome: 30-1

 

  1. During a physical assessment the population health nurse learns that a client is experiencing nightmares, anxiety, and is 20 lbs. below normal weight. The client casually mentions a suicide attempt but refuses to discuss her relationship with her spouse. Which issue should the nurse suspect is occurring with this client?
  2. Anorexia
  3. Intimate partner violence
  4. Substance abuse
  5. Child abuse

 

Answer: 2

 

Explanation: 2. Intimate partner violence refers to any behavior within an intimate relationship that causes physical, psychological, or sexual harm to those in the relationship. Psychological indications of intimate partner violence include casual response to an injury, nightmares, and anxiety, anorexia, and suicide attempts. Even though a psychological indication of intimate partner violence may include anorexia, anorexia would not be the best answer as the scenario describes a much greater problem than just anorexia. The scenario does not describe the typical picture of one who is a substance abuser or one who was abused as a child.

 

Nursing/Integrated Concepts: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive Level: Analysis

Learning Outcome: 30-1

 

 

 

  1. The community is conducting a series of panel discussions about suicide. Information that should be discussed includes:
  2. Ten million Americans attempt suicide at some point in their life.
  3. Suicide is the tenth leading cause of death in the United States.
  4. Suicide ideation is a rare occurrence in Americans
  5. Suicide is the top cause of death worldwide.

 

Answer: 2

 

Explanation: 2. Suicide has become the tenth leading cause of death in the United States. In 2009, suicide surpassed motor vehicle accidents as the leading cause of injury deaths. The age-adjusted suicide rate for 2010 was 12.1 per 100,000 populations, resulting in 38,000 deaths. Another 1 million people attempted suicide, and 2 million engaged in suicidal ideation. On average, 31,000 suicide deaths occur each year in the United States. Suicide is also one of the top ten causes of death throughout the world, with an estimated 10 to 20 suicide attempts for every completed suicide.

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive Level: Application

Learning Outcome: 30-1

 

  1. The population health nurse is working with a young adult female who admits to being severely abused as a child. The teaching that would be most appropriate initially is about:
  2. The results of risky sexual behavior.
  3. The possibility of her becoming a child abuser.
  4. General hygiene needs.
  5. General coping skills.

 

Answer: 1

 

Explanation: 1. Experience of abuse as a child has been shown to lead to risky sexual behavior and early pregnancy. Since the young adult admits to being severely abused the most appropriate initial teaching should be the results of risky behavior. A later teaching topic might include the possibility of her becoming a child abuser. General hygiene needs would not be an appropriate initial teaching as compared to the results of risky sexual behavior. Even though she might need some general coping skills that would not be the initial most appropriate teaching topic.

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive Level: Analysis

Learning Outcome: 30-2

 

  1. The population health nurse notes that a community has taken action to prevent suicides. What environmental change did the nurse observe to come to this conclusion?
  2. Sponsoring support groups in the school library
  3. Separating recyclables from other forms of trash
  4. Installing bridge barriers along bridge walkways
  5. Posting the telephone number for a crisis support line

 

Answer: 3

Explanation: 3. Jumping from high places may be the preferred form of suicide. High bridges may be a common venue for suicides. For example, installation of a bridge barrier on a bridge in Montreal, Canada, effectively reduced suicide rates. Sponsoring support groups may or may not help with suicide prevention. Separating recyclables from other forms of trash has nothing to do with suicide prevention. Posting the telephone number for the crisis support line might help an individual with suicide prevention however this is not a population approach.

 

Nursing/Integrated Concepts: Nursing Process: Evaluation

Client Need: Safe and Effective Care Environment

Cognitive Level: Analysis

Learning Outcome: 30-2

 

  1. The population health nurse is identifying strategies to reduce child abuse in a community. Which strategy supports a health promotion approach to this potential problem?
  2. Recommend locations for caregiver respite care
  3. Hold a class to review appropriate forms of discipline
  4. Provide a list of babysitters available in the community
  5. Identify attorneys who represent domestic violence cases

 

Answer: 2

 

Explanation: 2. Population health nurses can also assist clients and families at risk to develop effective parent–child and intimate partner relationships by providing anticipatory guidance, assistance with communication, and so on. This would include educating parents regarding appropriate forms of discipline. Recommending locations for respite care, providing a list of babysitters, and identifying attorneys who represent domestic violence cases are not health promotion strategies.

 

Nursing/Integrated Concepts: Nursing Process: Planning

Client Need: Psychosocial Integrity

Cognitive Level: Analysis

Learning Outcome: 30-3

 

  1. A client is concerned about abusing an elderly parent because of the violence he was subjected to as a child. What should the population health nurse recommend to prevent this client from committing elder abuse?
  2. Advise the client to suppress the feelings
  3. Recommend that the client move to another city
  4. Discuss the need to report the client to the authorities
  5. Suggest that the client enroll the elderly parent in adult day care

 

Answer: 4

 

Explanation: Prevention strategies for elder abuse include listening to elders and their caregivers and addressing their needs. Population health nurses can refer elders to day care centers or assist caregivers to access respite services. Suppressing feelings will not prevent the client from acting out aggressively. The client does not need to be reported to the authorities. Recommending that the client move to another city does not take into consideration the client’s or the elder parent’s needs.

 

 

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive Level: Application

Learning Outcome: 30-3

 

  1. The most appropriate intervention when screening to identify persons at risk for violence is to:
  2. Report instances of violence.
  3. Refer these persons for counseling.
  4. Engage in case finding to teach others how to recognize signs of abuse or potential violence.
  5. Engage in political activity to advocate for adequate treatment facilities for persons at risk.

 

Answer: 3

 

Explanation: 3. The best approach in screening to identify persons at risk for violence is to engage in case finding. Teachers and counselors are in a good position to recognize signs of potential abuse and violence, and should be taught how to recognize abuse or potential for violence. Reporting instances of violence is an intervention, but does not address how to identify persons at risk. Referring for counseling is an intervention done after the identification of violence risk has been made. Advocating for shelters is an intervention that addresses provisions for persons at risk for violence, but does not address identifying the at-risk person.

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Safe and Effective Care Environment

Cognitive Level: Application

Learning Outcome: 30-4

 

  1. 9. What should a population health approach to provide treatment for violent persons include?
  2. Advocate for availability of treatment services and facilities.
  3. Referral for necessary services.
  4. Educate the public about factors that contribute to the risk of violence.
  5. Remove victims of abuse to safe environments as needed.

 

Answer: 1

 

Explanation: 1. Advocating for treatment services and facilities addresses the population health goal of providing treatment for violent persons. Referral to necessary services and removing victims of abuse addresses approaches on an individual level. Educating the public about factors that contribute to the risk of violence is a population health approach that addresses identifying persons at risk for violence, not providing treatment for violent persons.

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Safe and Effective Care Environment

Cognitive Level: Application

Learning Outcome: 30-4

 

  1. Advocating for available shelter and other resources and having a safety plan addresses which health restoration goal?
  2. Provide treatment for victims of violence.
  3. Identify persons at risk for violence.
  4. Identify episodes of violence.
  5. Provide safe environments.

Answer: 4

 

Explanation: 4. Having a safety plan and advocating for available shelters address the health restoration goal of providing a safe environment for victims of abuse when they decide to leave. Providing treatment, identifying episodes of violence, and identifying persons at risk do not address the goal of providing a safe environment.

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Safe and Effective Care Environment

Cognitive Level: Analysis

Learning Outcome: 30-4

 

  1. What should the population health nurse recommend to prevent suicide clusters and copycat murders in a community?
  2. Assist family members who are affected work through feelings of guilt and grief.
  3. Advocate for services to address victims and perpetrators of violence.
  4. Assist in developing community response plans to these events.
  5. Reduce the sources that contribute to suicide or homicide.

 

Answer: 3

 

Explanation: 3. A population oriented strategy to prevent suicide clusters and copycat murders is to have a community response plan. In addition, media exposure to these events can be controlled. Assisting family members and reducing sources that contribute to suicide and homicide address other prevention goals. Advocating for available services for victims and perpetrators of violence is not considered preventing suicide clusters and copycat murders, but a treatment of the consequences of violence.

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Safe and Effective Care Environment

Cognitive Level: Application

Learning Outcome: 30-5

 

  1. The population health nurse is assisting a community member with ways to reduce stress. What should the nurse recommend for this client? (Select all that apply.)
  2. Referral to sources of assistance.
  3. Develop or expand social support networks.
  4. Assist with employment and other social needs.
  5. Arrange for respite care as needed.
  6. Assist in developing a community response plan to stress.

 

Answer: 1, 2, 3, 4

 

Explanation: 1, 2, 3, 4. On the individual level, addressing approaches to reduce sources of stress are referral to sources of assistance, developing or expanding social support networks, assisting with employment and other social needs, and arranging for respite care as needed. These approaches address potential sources of abuse: elder, child, and self. Assisting in developing a community response plan is a population health approach to prevent suicide clusters and copycat murders.

 

 

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive Level: Application

Learning Outcome: 30-5

 

  1. How should providing care to families of homicide and suicide victims best be addressed on the population level?
  2. Assist family members to work through feelings of grief and guilt.
  3. Advocate for support services for families of victims.
  4. Referral to assistance with legal and other tasks as needed.
  5. Assist families to find positive ways to cope with loss.

 

Answer: 2

 

Explanation: 2. Advocating for support services for families of victims is a population health consideration in providing care to homicide and suicide victims. Strategies to address individual concerns include assisting family members to work through their feelings, finding positive ways to cope, and referring for assistance in legal matters and other tasks.

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive Level: Application

Learning Outcome: 30-5

 

  1. An important consideration for the population health nurse to address societal violence is to:
  2. Assess for environmental factors that could lead to violence.
  3. Ask all female members of the community if they have been abused.
  4. Ensure that adolescent males in the community are aware of suicide risks.
  5. Advocate for gun control in the community.

 

Answer: 1

 

Explanation: 1. Before acting on the other aspects of societal violence, the nurse needs to first assess the population for risk factors that could lead to violence. Asking all female members of the community if they have been abused is unrealistic and may generate false answers. While adolescent males have higher suicide risk potential, targeting them will not decrease suicide. Advocating for gun control may decrease violence, but is controversial given constitutional considerations.

 

Nursing/Integrated Concepts: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment

Cognitive Level: Application

Learning Outcome: 30-6

 

  1. The unemployment rate has increased in the community. The population health nurse should:
  2. Monitor whether more community members receive food assistance.
  3. Monitor whether more community residents receive health services at the local health clinic.
  4. Monitor for an increase in domestic violence and child abuse as frustrations rise over loss of income.
  5. Monitor for an increase in liquor sales in the community.

 

Answer: 3

 

Explanation: 3. As unemployment rises, frustrations may increase as income loss creates hardships in families and may manifest in domestic violence and child abuse. The nurse will need to be alert to this potential. Increased liquor sales, increased numbers of residents using the local health clinic, and requiring food assistance can create health concerns for the community, but not necessarily result in a potential for violence.

 

Nursing/Integrated Concepts: Nursing Process: Planning

Client Need: Psychosocial

Cognitive Level: Application

Learning Outcome: 30-6

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