NUR 4150 Community Final Exam Study Guide Complete

NUR 4150 Community Final Exam Study Guide For Exam #1 1. Which of the following statements is true with regard to a population focus in public health nursing? -Attention is given to the population or community as a whole, regardless of whether those within the population do or do not access the health care system. 2. Which of the following questions should a nurse who has a public health focus ask of the County Health Department? All that Apply -What subpopulations are at greatest risk in our community? -What do our citizens think are the most important health needs at this time? -What partnerships with other agencies have we already established? 3. The method of community data collection that involves: conversation with selected community members and observing the environment discovering where community services are known as: -Windshield survey 4. Neighborhood centers that provided health care and social welfare programs in the early 1900’s were called -Settlement houses 5. A nurse is planning a population-focused program. The program focuses on addressing the quality of life while decreasing potential health care costs. Which one of the following nursing actions should accomplish this goal? -Teaching high school boys about sexually transmitted infections and proper condom application. 6. A community-oriented nurse has the goal of promoting the quality of life in the community. Which of the following are examples of community-oriented nursing? SELECT ALL THAT APPLY -Health education on smoking cessation at the health center -Mini health fairs at a local housing project -Developmental screening at the preschool 7. A nurse educator is explaining the definition of community health nursing to a group of nursing students. It would be appropriate for the educator to explain that community health nursing is -Promoting and protecting the health of populations using knowledge from nursing, social and public health sciences. 8. A community health nurse (CHN) determines that a large number of school-aged children are not immunized and decides to research why. Which core public health function is the nurse is demonstrating? -Population assessment 9. In 1850 the Shattuck report in Massachusetts represented a major innovation in public health. Which of the following recommendations were included in the report that includes the use of public health nurses? SELECT ALL THAT APPLY -Establishment of state health departments and local health boards in every town. -Promotion of environmental sanitation and collection of vital statistics. -Steps to decrease preventable disease and control smoking and alcohol use. 10. Which of the following current programs most resembles the Elizabeth Poor Law of 1601? -Medicaid 11. Conducting a class at a public health clinic on breast self examination to a group of 75 women is an example of which of the following terms? -Efficiency 12. The Broward County health Department has opened the health kiosk in an adult day care center. The county provides free transportation to any elder in the county that wishes to access the health center services. The public health core function applied is -Assurance 13. The nurse is interested in decreasing the incidence of strokes in African Americans. An example of secondary prevention is -Blood pressure screening 14. The nurse is interested in decreasing the incidence of hypertension in Fort Lauderdale. Which of the following would be a primary prevention strategy? -Diet and exercise 15. Which of the following steps would occur first when starting an educational program -Gain the learner attention 16. When a public health nurse uses evidence-based interventions to evaluate effectiveness, accessibility, and quality of population-based services in the community, the nurse is addressing the core public health function of -Assurance 17. A nurse has assessed infant malnutrition in a community. A community wide effort institutes outreach programs for at-risk infants. One year later a 25% decrease is seen in infant malnutrition. This activity is known as: -Evaluation 18. Although the definitions of EBP in the literature vary widely, their common thread across all healthcare disciplines is -Application of the best available evidence to improve practice 19. The community health nurse is concerned that evidence-based practice will lead to a cookbook approach and an unwillingness of community organizations to fund research. This concern is representative of -Barriers that prevent implementation of evidence-based practice 20. Participant observation, secondary analysis and windshield surveys are examples of -Data collection 21. Community health nurses and community representatives serve together on an advisory board to address community health issues. This is an example of -Community partnerships 22. The nurse is teaching a to use a glucometer. The nurse explained objectives for testing blood sugar. What should the nurse do next? -Ask the patient about previous experience with glucometers 23. During a class on healthy eating at a middle school, a nursing student gives a post test at the end of the class. What step of instruction is the student nurse using? -Assessing attainment of objectives 24. A public nurse has telephoned ahead to meet with community stakeholders at the local community center. When the nurse arrives at the community center no lights are on and people are loitering at the entrance. The next action the public health nurse should take is: -Leave the area and call the nursing supervisor 25. A nurse gives a post-test at the end of a class on sexually transmitted disease at high school. What step of instruction is the student nurse using? -Assessing performance 26. A committee of health care professionals would like to establish a countywide program to improve Latino immigrant access to culturally competent health care services. The informant that should be included in the planning process would be which of the following? -Latino community leader 27. A nurse in community health is participating in a community partnership to currently assessing the community’s strengths, the local public mental…the community’s mental health status, and forces of change. This best strategic program planning model used today in the public health.. -Mobilizing for action Through Planning and Partnership (MAPP) 28. A nurse is planning a class for a group of diabetics. The best learning objective is: -The participants in the diabetes class will be able to list 3 signs and symptoms of diabetes at the conclusion of the class. 29. Which of the following are benefits of program planning. SELECT ALL THAT APPLY: -Delineates role responsibilities for meeting program objectives. -Identifies resources necessary to meet objectives. 30. The process of utilization review asks which of the following questions. SELECT ALL THAT APPLY: -Is the cost of services reasonable? -What care should be provided? 31. A community health nurse (CHN) has taken a position as a case manager. The role of the case manager as coordinator of care is to: SELECT ALL THAT APPLY: -Educate the client and providers about the case management process so that informed decisions can be made. -Work with the client to achieve mutual goals. -Arrange, regulate, and balance needed health services for the client. 32. The role of the case manager as coordinator for the community is: -Arrange, regulate, and balance needed health services for clients. 33. A public health nurse is conducting a community health assessment. The nurse attends a monthly community potluck dinner and asks the community members about their health care needs. The nurse plans to use this information to: -Meet with community leaders and discuss the needs. 34. The core functions of public health are: -Assessment, policy development and assurance. 35. Of the following quality management recommendations or processes, which one exemplifies Tertiary Prevention? -After evaluation of response to an actual fire, new procedures implemented in the fire response protocol are distributed to the employees. 36. The student nurses at a family health center are conducting a diabetes sel- management group session. They have six participants in the class session. All the participants are asked to remove their shoes. Two of the client bow their heads, look at the floor and leave their shoes on their feet. An effective intervention is for the student nurse to: -Clarify that no one has to remove his or her shoes unless he or she wants to and continue foot inspection and foot care inspection. 37. A community group involves representatives from the local agencies such as the Board of Aging, the Senior Center; several privately owned assisted living facilities and nursing homes. Alzheimer’s Association chapter, and public health nursing. The goal of a group like this to do which of the following: -Collectively explore areas of common interest. 38. The nurse in community health is meeting with staff to systematically plan for a new outreach program. Doing so assists them to do which of the following? -Identify the resources and activities that will help them to meet their program objectives. 39. Which of the following group purposes is the one most likely to lead to successful goal attainment of teen pregnancy prevention? -Empowering teens to prevent pregnancy. 40. The nurse wishes to conduct informant interviews in a small community. Which of the following would be the best contact? -The owner of the local grocery store. 41. The nurse has been selected to assist in designing a public health care system for a community. The nurse understands a factor that will strongly influence the success of the system is: -P