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A busy school health nurse concerned over the rising incidence of obesity wants to
implement evidence-based practice (EBP) but faces barriers because of time
constraints. Which of the following actions should the nurse take first?
- answer-Evaluate best practices to determine those that have the highest success
rates for weight control in children
A colonist is working in the public health sector in early colonial America. Which
of the following activities would have likely been completed?
- answer-Collecting vital statistics and improving sanitation
How did the Industrial Revolution result in previous caregiving approaches, such
as care by families, friends, and neighbors, becoming inadequate?
- answer-Migration and urbanization resulted in increased demand for care
In a particular community, several high school students were diagnosed with
diabetes mellitus Type 2 during the annual high school health fair. Over the next
few years, the nursing staff developed and implemented educational programs
about the risk factors for diabetes mellitus Type 2 and proper nutrition. Which of
the following would be most useful for the nurses to use to determine if they are
having any impact?
- answer-The incidence of diabetes is slowly decreasing during screening events
Making sure that essential community-oriented health services are available
defines which of the core public health functions?
- answer-Assurance
Persons often point out that smokers choose to light their cigarettes, alcoholics lift
the glass to their mouth, and drug addicts inject or ingest their drugs. Which of the
following statements best describes why nurses don't simply focus on helping
persons who engage in poor health behaviors to behave appropriately?
- answer-Society must offer healthy choices, offer support, and practice helpful
policies
, Several small communities have applied for grant funding from the state
department of health to help decrease their teenage pregnancy rate. Which of the
following communities should the nurse suggest receive funding first?
- answer-Community D - with 90 single teenage pregnancies in a city of 1500
Staff members have agreed to implement evidence-based practice; they have
chosen a specific problem and searched the literature. The group has selected the
interventions that seem the easiest to implement. Which of the following actions
would the staff take next?
- answer-Assess the quality of the evidence in the literature
The Elizabeth Poor Law of 1601 is similar to which current law?
- answer-Medicaid
The nurse has been reading everything she can find on a particular clinical
problem, using both the closest medical library and the Internet. Which of the
following would be the most helpful source?
- answer-Systematic review related to the clinical problem
The nurse often has to make resource allocation decisions. Which of the following
best describes the criterion the nurse should use in such cases?
- answer-The needs of the aggregate rather than a few individuals
The nursing staff has attempted to screen the entire African-American population
in the community for diabetes. Which of the following would provide immediate
verification of the success of the nursing staff's efforts?
- answer-The incidence of diabetes will increase in the community
The public health administrator is in the process of hiring a new public health
nurse. Which of the following statements made by an applicant would most likely
result in the applicant not being hired?
- answer-"I like to be the only person working on a project because individuals in
teams have their own ideas and plans and the resulting debate slows progress."
The public health nurse has a clear vision of what needs to be done and where it
begin to improve the health of the community. Why would the nurse spend time
meeting with community groups to discuss the most important task to be addresses
first?
- answer-To work with the groups, not for the groups