Chapter 11: Population-Based Public
Health Nursing Practice: The
Intervention Wheel Questions And
Answers
1. Which statement about the Intervention Wheel is true?
a. It provides a graphic illustration of population-based public health practice.
b. It describes in detail the components of public health nursing.
c. It demonstrates the practice of community health nurses for policy and lawmakers.
d. It is a framework used by all health departments in the United States. - Correct
Answer-ANS: A
The Intervention Wheel provides a graphic illustration that gives public health nurses
(PHNs) a means to describe the full scope and breadth of their practice. The Wheel was
derived from the practice of PHNs and intended to support their work. It gives PHNs a
means to describe the full scope and breadth of their practice. It serves as a model for
practice in many state and local health departments, but not all.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. Since the Intervention Wheel was first published in 1998, what related event has
occurred?
a. It has guided national policy.
b. It has been used as a tool in deciding licensure issues for State Boards of Nursing.
c. It has been incorporated into the public health curricula of many nursing programs.
d. It has gained wide acceptance internationally. - Correct Answer-ANS: C
Since being published, the Intervention Wheel has been incorporated into the
public/community health coursework of numerous undergraduate and graduate
curricula. The Wheel was derived from the practice of PHNs and intended to support
their work. It gives PHNs a means to describe the full scope and breadth of their
practice. It serves as a model for practice in many state and local health departments. It
has been presented internationally but is not used widely at the international level.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. Public health interventions are implemented with:
a. legislators, policy makers, and community leaders.
b. individuals and families, communities, and systems.
c. children, adolescents, and adults.
d. health departments, public health agencies, and visiting nurses' associations. -
Correct Answer-ANS: B
, It is important to know that public health nurses (PHNs) work with individuals and
families, communities, and systems. The other answers may have true parts, but the
second option lists the overall groups where PHNs are intervening.
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. Which statement is true about the origins of the Intervention Wheel?
a. A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and
Wisconsin developed and refined the Intervention Wheel.
b. It was conceived by a group of international nurses from Norway, Kazakhstan, and
Japan.
c. It was a result of a qualitative analysis carried out by the State Boards of Nursing.
d. It resulted from a grounded theory process carried out by public health consultants
at the Minnesota Department of Health. - Correct Answer-ANS: D
Public health consultants with the Minnesota Department of Health carried out a
grounded theory process in response to uncertainty about the contributions of public
health nursing to population health level improvement, resulting in the identification of
the Intervention Wheel components. It was not developed by a panel of nurses in the
Midwest or by a group of international nurses. It was not a qualitative analysis process
and the State Boards of Nursing were not involved in its development.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. A social marketing campaign urging community members to avoid driving motorized
vehicles after consuming alcohol is implemented in a local community. Which of the
following levels of practice is being demonstrated?
a. Individual
b. Systems
c. Community
d. Government - Correct Answer-ANS: C
Community level interventions are carried out with the community as a whole. This level
changes community norms, attitudes, awareness, practices, and behaviors. It is
directed
toward entire populations within the community or occasionally toward populations at
risk or populations of interest. Individual level intervention changes knowledge,
attitudes, beliefs, practices, and behaviors of individuals. Systems level interventions
change organizations, policies, laws, and power structures within communities.
Government is not a level of intervention described by "The Wheel."
DIF: Cognitive level: Applying TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
6. A public health nurse (PHN) uses Assumption 2, "Public health nursing practice
focuses on populations," to guide practice. Which of the following would be considered
a population of interest?
a. Healthy school children
b. Homeless individuals
Health Nursing Practice: The
Intervention Wheel Questions And
Answers
1. Which statement about the Intervention Wheel is true?
a. It provides a graphic illustration of population-based public health practice.
b. It describes in detail the components of public health nursing.
c. It demonstrates the practice of community health nurses for policy and lawmakers.
d. It is a framework used by all health departments in the United States. - Correct
Answer-ANS: A
The Intervention Wheel provides a graphic illustration that gives public health nurses
(PHNs) a means to describe the full scope and breadth of their practice. The Wheel was
derived from the practice of PHNs and intended to support their work. It gives PHNs a
means to describe the full scope and breadth of their practice. It serves as a model for
practice in many state and local health departments, but not all.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. Since the Intervention Wheel was first published in 1998, what related event has
occurred?
a. It has guided national policy.
b. It has been used as a tool in deciding licensure issues for State Boards of Nursing.
c. It has been incorporated into the public health curricula of many nursing programs.
d. It has gained wide acceptance internationally. - Correct Answer-ANS: C
Since being published, the Intervention Wheel has been incorporated into the
public/community health coursework of numerous undergraduate and graduate
curricula. The Wheel was derived from the practice of PHNs and intended to support
their work. It gives PHNs a means to describe the full scope and breadth of their
practice. It serves as a model for practice in many state and local health departments. It
has been presented internationally but is not used widely at the international level.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. Public health interventions are implemented with:
a. legislators, policy makers, and community leaders.
b. individuals and families, communities, and systems.
c. children, adolescents, and adults.
d. health departments, public health agencies, and visiting nurses' associations. -
Correct Answer-ANS: B
, It is important to know that public health nurses (PHNs) work with individuals and
families, communities, and systems. The other answers may have true parts, but the
second option lists the overall groups where PHNs are intervening.
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. Which statement is true about the origins of the Intervention Wheel?
a. A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and
Wisconsin developed and refined the Intervention Wheel.
b. It was conceived by a group of international nurses from Norway, Kazakhstan, and
Japan.
c. It was a result of a qualitative analysis carried out by the State Boards of Nursing.
d. It resulted from a grounded theory process carried out by public health consultants
at the Minnesota Department of Health. - Correct Answer-ANS: D
Public health consultants with the Minnesota Department of Health carried out a
grounded theory process in response to uncertainty about the contributions of public
health nursing to population health level improvement, resulting in the identification of
the Intervention Wheel components. It was not developed by a panel of nurses in the
Midwest or by a group of international nurses. It was not a qualitative analysis process
and the State Boards of Nursing were not involved in its development.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. A social marketing campaign urging community members to avoid driving motorized
vehicles after consuming alcohol is implemented in a local community. Which of the
following levels of practice is being demonstrated?
a. Individual
b. Systems
c. Community
d. Government - Correct Answer-ANS: C
Community level interventions are carried out with the community as a whole. This level
changes community norms, attitudes, awareness, practices, and behaviors. It is
directed
toward entire populations within the community or occasionally toward populations at
risk or populations of interest. Individual level intervention changes knowledge,
attitudes, beliefs, practices, and behaviors of individuals. Systems level interventions
change organizations, policies, laws, and power structures within communities.
Government is not a level of intervention described by "The Wheel."
DIF: Cognitive level: Applying TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
6. A public health nurse (PHN) uses Assumption 2, "Public health nursing practice
focuses on populations," to guide practice. Which of the following would be considered
a population of interest?
a. Healthy school children
b. Homeless individuals
