2
Practice Questions &
Answers
Comprehensive Explanations
& Rationales
Key Concepts • Review
Questions • Exam Preparation
,Public Health Nurses Impact the health of populations through disease prevention, health promotion, and
actions that protect population health
10 essential public health services 1) Monitor health status to identify and solve community health problems.
2) Diagnose and investigate health problems and health hazards in the community.
3) Inform, educate, and empower people about health issues.
4) Mobilize community partnerships and action to identify and solve health
problems.
5) Develop policies and plans that support individual and community health efforts.
6) Enforce laws and regulations that protect health and ensure safety.
7) Link people to needed personal health services and assure the provision of
health care when otherwise unavailable.
8) Assure competent public and personal health care workforce.
9) Evaluate effectiveness, accessibility, and quality of personal and population-
based health services.
10) Research for new insights and innovative solutions to health problems.
Specific skills in public health nursing -Intervening to protect natural environment
-Identifying problems for populations at risk
-Collecting vital statistics and analyzing impact
-Providing specific health services
-Managing communicable disease through prevention, screening, treatment
-Scheduling wellness, screening and immunization clinics
-Supervising and ensuring the competency of staff
-Legislating for policy implementation and revision
-Gathering statistics through surveillance and investigation
-Fostering emergency preparedness
Home Health Nurses Function as educator, provider of skilled nursing interventions, and coordinator of
care
Specific skills in home health nursing -Skilled assessment
-Wound care
-Laboratory draws
-Medication education and administration
-Parenteral nutrition
-IV fluids and medication
-Central line care
-Urinary catheter insertion & maintenance
-Coordination, delegation, and supervision of other healthcare participants
Omaha System Model -Nurses caring for individuals, families, and communities under home health and
hospice care often used this to implement the nursing process
-Used in many electronic health record systems
Steps of the Omaha System Model 1) Collecting and assessing data
2) Stating the problem
3) Identifying an admission problem rating using a problem classification scheme
4) Planning and intervening
5) Re-rating problems during the span of care delivery and at discharge
6) Evaluating the end problem outcome
Living environment in home health The home health nurse must evaluate living environment for safety, paying close
attention to nonsecure rugs, electrical outlets, low lighting, use of oxygen and need
for safety devices in the bathroom
Questions to ask about living environment in home health -Does the client have food in the house to eat?
-Is there help with household activities?
-Does the client live alone?
-Is the client able to set up and dispense their own medications? -Does the client
have access to healthcare?
Hospice Nurses Focus on enhancing the quality of life through the provision of palliative care,
supporting the client & family through the dying process and providing bereavement
support to the family following clients death
, What are cultural differences related to death and dying? *
Occupational Health Nurses Work to promote a healthy work environment to foster the health and safety of
workers
Occupational health nurse responsibilities -Susceptibility (to illness/injury)
-Responsibilities
-Exposure to hazards
-Site walk-through
-Control strategies
-Protection (from illness/injury)
-Legislation
Susceptibility Host factors
-Worker characteristics
Agent Factors
-Biological agents: viruses, bacteria, fungi, other pathogens
-Chemical agents: asbestos, smoke
-Mechanical agents: musculoskeletal or other strains
-Physical agents: noise, temperature extremes, radiation, lighting
-Psychological agents: threats to well being
Environment factors
-Physical factors: heat, odor, ventilation, pollution
-Social factors: sanitation, overcrowding
-Physiological factors: addiction, stress
Primary preventions in occupational health nursing -Teaching good nutrition and knowledge of health hazards
-Providing information on immunizations and use of PPE
Secondary preventions in occupational health nursing -Identifying workplace hazards
-Early detection through health surveillance and screening
-Prompt treatment, counseling, and referral
-Prevention of further limitations
Tertiary preventions in occupational health nursing -Restoration of health through rehabilitation strategies and limited duty programs
Exposure to hazards -Goal is to identify agents and host factors that place the worker at risk
-Identify ways to eliminate or minimize exposure and prevent potential problems
Site Walk-Through -Observes work processes and materials
-Job requirements
-Actual or potential hazards
-Employee work practices: hygiene, housekeeping
-Incidence/prevalence of work related injuries
Control Strategies Designed to reduce future exposures based upon results from investigations into
work-related illness/injury
Types of control strategies -Engineering
-Altering work practices
-Providing PPE & education
-Workplace monitoring
-Health screening
-Employee-assistance programs
-Job-risk analysis
-Design, risk management, emergency preparedness