Regis College Young School of Nursing NU 340, Community Health Nursing Spring 2019

Directions:  Gather your textbook, PowerPoint slides, and other anticipated resources.  Prior to starting the exam, be sure to familiarize yourself with the following textbook content: Chapters 1, 2, 21, 5, 18, and 46. In addition, please review in-class and out-of-class discussions, articles, news and video clips, and Moodle content. Consider your clinical experiences, community assessment work, Nutrition ATI content, medication safety and calculation knowledge, and Institute for Healthcare Improvement modules as well.  Organize your individual testing resources. You are free to utilize your textbook, PowerPoint slides, online sites, and other materials to complete the exam.  Please avail yourself of all course Moodle site learning materials as well.  Your submission, despite the availability of open resources, is expected to be uniquely yours.  Clearly indicate your responses to all questions (e.g., highlight in yellow the correct answer or delete all the incorrect responses). Do make your answers absolutely explicit.  Do submit your answers as a Microsoft Word document (i.e., not Pages, other). Non-Word formatted submissions may not be accepted.  Any legitimate, scholarly reference (e.g., textbook, newspaper, journal, respectable online resource) is permitted when answering questions that request inclusion of a least one reference. Opinion blogs, Wikipedia, social media sites, and other such unsubstantiated, unscholarly resources are not acceptable references.  FOR PART B of the exam: Be sure to include in-text citations in your short answer responses. Do not simply write your response and include the reference citation(s) at the bottom of your answer. Be sure to demonstrate explicitly within the body of your answer how you have supported your response with the selected references. Failure to do so will result in lost points.  All references must be cited appropriately using APA (6th ed.) format.  Presentation/formatting issues (e.g., spelling, grammar, punctuation, APA, plagiarism, failure to cite, etc.) will result in lost points.  Submit your answers to the Moodle submission box on or before MARCH 11, 2019, at 9:00 AM. Be sure to include your name on the uploaded submission.  No late submissions will be accepted without prior written instructor approval.  Good luck! _____________________________________________________________________________________ Part A: QUESTIONS BY TEXTBOOK CHAPTER and ASSORTED CONTENT Number of Questions in This Section: 40 Questions Point Value: 2 Points/Question Chapter One: 1. A marker of Affordable Care Act enactment success is? a. A greater percentage of the population is covered by insurance b. The prevalence of hypertension remains unchanged c. Public health departments offer more nursing positions d. Americans pay closer attention to their health status 2. List and briefly define the three core functions of public health. Answer: 1. Assessment: Collecting data, monitoring public’s health status, making information easily NU 340, Spring 2019, Take-Home Exam ONE Page 1 of 12 available to the public. 2. Policy Development: Helps to develop policies that would benefit the overall health of the public and helps to make policy decisions using scientific knowledge. 3. Assurance: Public health officials work to make available important community-oriented health services. 3. One of the core public health functions is assessment of the health status of a community. Which of the following questions would be asked in the assessment phase? a. What programs are available to reduce the risk of cardiac disease in the population? b. What educational materials are needed to inform the community about environmental risk factors? c. What is the prevalence rate of hypertension about various age, race, and gender groups in the community? d. What types of public transportation are needed in the community to ensure access to services? 4. Increase in life span of the human population can be principally attributed to what? a. Increased focus on and funding for public health b. Reform of the medical insurance system c. Improvements in sanitation, safety, nutrition, and housing d. Improvements in medical knowledge and treatment approaches 5. A public health nurse establishes a cardiac rehabilitation program for cardiac patients living in the community. Which of the following best describes establishment of this program? a. Health education b. Policy making c. Primary prevention d. Tertiary prevention 6. Joseph, a community-based registered nurse, would be most likely responsible for completing which of the following? a. Assessing the health needs of a community b. Providing care to individuals in a community c. Promoting the health of an entire community d. Investigating occupational health hazards in a community 7. A school nurse is conducting hearing screenings on children in the district elementary school. Which type of nursing practice is the nurse performing? a. Population health b. Public health c. Community-oriented d. Community-based _____________________________________________________________________________________ Chapter Two: NU 340, Spring 2019, Take-Home Exam ONE Page 2 of 12 8.The local public health department provides community health nursing services in a county population of 25,000 residents. The goal is to provide health promotion, surveillance, and disease prevention services to the residents of the county. The primary nurse at the public health department is preparing to offer an influenza vaccination clinic, which is being held at the mall. She has arranged to have several volunteer nurses assist with the effort and is expecting to treat approximately 1,000 individuals. Public health nursing emphasizes prevention of disease. What are the challenges associated with such a goal? SELECT ALL THAT APPLY. a. Increased costs and decreased funding b. Independence of problem-solving and decision-making c. It is easier to measure the effects of prevention. d. It is more difficult to measure the effects of prevention than the effects of treatment. e. Emerging communicable diseases continue to be a health threat. 9.A public health nurse is determining which type of programming should be developed for the community. Which of the following is the most crucial factor that will influence program development? a. Comprehensive assessment and planning done in the community b. Documented needs of the local community c. Federal funding for priority diseases or groups d. Nursing staff’s expertise and skills 10. A public health nurse is reviewing the screening guidelines for early detection of colorectal cancer. Which document would most likely provide useful information about this topic? a. The Future of Public Health b. Healthy People 2020 c. Patient Protection and Affordable Care Act d. Scope and Standards of Public Health Nursing Practice 11. The Elizabethan Poor Law of 1601, enacted in England and Wales and later adopted by early American settlers, provided the policy framework for which of the following medical care programs? a. Food stamps b. Welfare c. Medicaid d. Medicare 12. A graduate of the New York Training Hospital for Nurses, progressive reformer and nurse Lillian Wald is credited with which major public health contribution of 1893? a. Establishment of the Henry Street Settlement b. Creation of the Public Health Service c. Founding of the American Nurses Association d. Founding of the National Organization for Public Health Nursing 13. Between 1900 and 1955, which major health trend occurred in the United States? a. Chronic diseases became the leading causes of death. b. Deaths linked to communicable diseases increased. c. The mortality rate of Americans