Page
1
, Chapter 1- Public Health Nursing b* b* b* b*
1. A nurse is striving to practice patient-centered care at a hospital. Which action
b* b* b* b* b* b* b* b* b* b* b* b*
bestexemplifies providing patient-centered care? b* b* b*
A) Having a client complete a self-reported functional status indicator and
b* b* b* b* b* b* b* b* b*
then reviewing it with the client
b* b* b* b* b* b*
B) Explaining to a client the benefits of computer-assisted robotic surgical b* b* b* b* b* b* b* b* b*
techniques, which the hospital recently implemented
b* b* b* b* b* b*
C) Recording a client's signs and symptoms in an electronic health record b* b* b* b* b* b* b* b* b* b*
D) Performing continuous glucose monitoring of a client while the client is in b* b* b* b* b* b* b* b* b* b* b*
the hospital b* b*
Ans: A b*
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
b* b* b* b* b* b* b*
families, and lifestyles. Clients become active participants in their own care, and
b* b* b* b* b* b* b* b* b* b* b* b*
monitoring health becomes the client's responsibility. To help clients and their
b* b* b* b* b* b* b* b* b* b* b*
healthcare providers make better decisions, the Agency for Healthcare Research and
b* b* b* b* b* b* b* b* b* b* b*
Quality (AHRQ) has developed a series of tools that empower clients and assist
b* b* b* b* b* b* b* b* b* b* b* b* b*
providers in achieving desired outcomes, including client-reported functional status
b* b* b* b* b* b* b* b* b*
indicators. Computer-assisted robotic surgical techniques, electronic health records,
b* b* b* b* b* b* b* b*
and continuous glucose monitoring in the hospital are all technological advances in
b* b* b* b* b* b* b* b* b* b* b* b*
healthcare, but they do not help the client become a more active participant in his or
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
her care, and thus are not good examples of patient-centered care.
b* b* b* b* b* b* b* b* b* b* b*
Origin: Chapter 1- Public Health Nursing, 2
b * b* b* b* b* b*
2. A nurse is caring for an older client who is struggling to manage her type 2
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
diabetes mellitus. The nurse should recognize which social determinants of this
b* b* b* b* b* b* b* b* b* b* b*
client's health?(Select all that apply.)
b* b* b* b* b*
A) Household income of $23,000 per year b* b* b* b* b*
B) Reading level of a third grader b* b* b* b* b*
C) Medication ineffective due to error in prescription b* b* b* b* b* b*
D) Originally from Sudan b* b*
E) No family in the area b* b* b* b*
Ans: A, B, D, E
b* b* b* b*
Feedback:
The social conditions in which people live, their income, social status, education,
b* b* b* b* b* b* b* b* b* b* b*
literacy, home and work environment, support networks, gender, culture, and
b* b* b* b* b* b* b* b* b* b*
availability of health services are the social determinants of health. These conditions
b* b* b* b* b* b* b* b* b* b* b* b*
have an impact on the extent to which a person or community possesses the
b* b* b* b* b* b* b* b* b* b* b* b* b* b*
physical, social, and personal resources necessary to attain and maintain health. A
b* b* b* b* b* b* b* b* b* b* b* b*
medical error on the part of the client's primary care provider or nurse would not
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
constitute a social determinant of the client's health.
b* b* b* b* b* b* b* b*
Page
2
, Origin: Chapter 1- Public Health b* b* b*
3. ANursing,
nurse successfully persuades an obese client to perform a weekly weigh-in at home
b* b* b* b* b* b* b* b* b* b* b* b* b*
using a digital scale and record the weight in a log. This strategy is an example
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
of:
b*
A) Telehealth
B) Health information technology b* b*
C) Personal responsibility for health b* b* b*
D) Evidence-based nursing b*
Ans: C
b* b*
Feedback:
Personal responsibility for health involves active participation in one's own health
b* b* b* b* b* b* b* b* b* b*
through education and lifestyle changes. In this case, the client makes a positive
b* b* b* b* b* b* b* b* b* b* b* b* b*
change in lifestyle by monitoring body weight weekly. Telehealth is the use of
b* b* b* b* b* b* b* b* b* b* b* b* b*
electronic information and telecommunications technologies to support long-distance
b* b* b* b* b* b* b* b*
clinical healthcare, client and professional health-related education, public health, and
b* b* b* b* b* b* b* b* b* b*
health administration. Health information technology (HIT) is defined as the
b* b* b* b* b* b* b* b* b* b*
comprehensive management of health information and its exchange between
b* b* b* b* b* b* b* b* b*
consumers, providers, government, and insurers in a secure manner. Evidence-based
b* b* b* b* b* b* b* b* b* b*
nursing is the integration of the best evidence available with clinical expertise and
b* b* b* b* b* b* b* b* b* b* b* b* b*
the values of the client to increase the quality of care.
b* b* b* b* b* b* b* b* b* b* b*
Origin: Chapter 1- Public Health Nursing, 4
b * b* b* b* b* b*
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
task best exemplifies public health?
b* b* b* b* b*
A) Reading current nursing journals and integrating the latest research into dailyb* b* b* b* b* b* b* b* b* b*
practice b*
B) Instructing a client on how to best care for a suture site at home b* b* b* b* b* b* b* b* b* b* b* b* b*
C) Participating in a videoconference call with a client who lives in a remote area b* b* b* b* b* b* b* b* b* b* b* b* b*
D) Facilitating a community-wide smoking cessation program one month out of the b* b* b* b* b* b* b* b* b* b*
year b*
Ans: D b*
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
b* b* b* b* b* b* b* b* b* b* b* b* b*
people can be healthy. A community-wide smoking cessation program is a great
b* b* b* b* b* b* b* b* b* b* b* b*
example of a public health intervention, in that it involves the collective effort of
b* b* b* b* b* b* b* b* b* b* b* b* b* b*
societyto improve the health of its members. Reading and applying the latest nursing
b* b* b* b* b* b* b* b* b* b* b* b* b*
research is an example of evidence-based nursing. Instructing a client on how to best
b* b* b* b* b* b* b* b* b* b* b* b* b* b*
care for a suture site at home is an example of personal responsibility for health, but it
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
is not focused on the health of the greater community. Participating in a
b* b* b* b* b* b* b* b* b* b* b* b* b*
videoconference call with a client who lives in a remote area is an example of
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
patient-centered care and of an effective implementation of technology, but it is not
b* b* b* b* b* b* b* b* b* b* b* b* b*
particularly related to public health.
b* b* b* b* b*
Page
3
, Origin: Chapter 1- Public Health b* b* b*
5. Public
Nursing,health nursing is distinguished from other specialties by adherence to eight
b* b* b* b* b* b* b* b* b* b* b*
principles. Which is one of the eight domains of public health nursing practice?
b* b* b* b* b* b* b* b* b* b* b* b* b*
A) Analytic assessment skills b* b*
B) Investigation of disease b* b*
C) Referral and follow-up b* b*
D) Case management b*
Ans: A
b* b*
Feedback:
The eight domains of public health nursing practice are as follows: Analytic
b* b* b* b* b* b* b* b* b* b* b*
assessment skills, policy development and program planning skills, communication
b* b* b* b* b* b* b* b* b*
skills, cultural competency skills, community dimensions of practice skills, public
b* b* b* b* b* b* b* b* b* b*
health science skills, financial planning and management skills, and leadership and
b* b* b* b* b* b* b* b* b* b* b*
systems thinking skills.
b* b* b*
Investigation of disease, referral and follow-up, and case management are all public
b* b* b* b* b* b* b* b* b* b* b*
health nursing interventions but are not domains of public health nursing practice.
b* b* b* b* b* b* b* b* b* b* b* b*
Origin: Chapter 1- Public Health Nursing, 6
b * b* b* b* b* b*
6. Public health nursing is distinguished from other specialties by adherence to
b* b* b* b* b* b* b* b* b* b*
eight principles. Which is one of the eight domains of public health nursing
b* b* b* b* b* b* b* b* b* b* b* b* b*
practice?
b*
A) Policy development and individual planning skills
b* b* b* b* b*
B) Individual dimensions of practice skills b* b* b* b*
C) Financial planning and management skills b* b* b* b*
D) Leadership and individual critical thinking skills b* b* b* b* b*
Ans: C
b* b*
Feedback:
The eight domains of public health nursing practice are as follows: Analytic
b* b* b* b* b* b* b* b* b* b* b*
assessment skills, policy development and program planning skills, communication
b* b* b* b* b* b* b* b* b*
skills, cultural competency skills, community dimensions of practice skills, public
b* b* b* b* b* b* b* b* b* b*
health science skills, financial planning and management skills, and leadership and
b* b* b* b* b* b* b* b* b* b* b*
systems thinking skills.
b* b* b*
Page
3
1
, Chapter 1- Public Health Nursing b* b* b* b*
1. A nurse is striving to practice patient-centered care at a hospital. Which action
b* b* b* b* b* b* b* b* b* b* b* b*
bestexemplifies providing patient-centered care? b* b* b*
A) Having a client complete a self-reported functional status indicator and
b* b* b* b* b* b* b* b* b*
then reviewing it with the client
b* b* b* b* b* b*
B) Explaining to a client the benefits of computer-assisted robotic surgical b* b* b* b* b* b* b* b* b*
techniques, which the hospital recently implemented
b* b* b* b* b* b*
C) Recording a client's signs and symptoms in an electronic health record b* b* b* b* b* b* b* b* b* b*
D) Performing continuous glucose monitoring of a client while the client is in b* b* b* b* b* b* b* b* b* b* b*
the hospital b* b*
Ans: A b*
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
b* b* b* b* b* b* b*
families, and lifestyles. Clients become active participants in their own care, and
b* b* b* b* b* b* b* b* b* b* b* b*
monitoring health becomes the client's responsibility. To help clients and their
b* b* b* b* b* b* b* b* b* b* b*
healthcare providers make better decisions, the Agency for Healthcare Research and
b* b* b* b* b* b* b* b* b* b* b*
Quality (AHRQ) has developed a series of tools that empower clients and assist
b* b* b* b* b* b* b* b* b* b* b* b* b*
providers in achieving desired outcomes, including client-reported functional status
b* b* b* b* b* b* b* b* b*
indicators. Computer-assisted robotic surgical techniques, electronic health records,
b* b* b* b* b* b* b* b*
and continuous glucose monitoring in the hospital are all technological advances in
b* b* b* b* b* b* b* b* b* b* b* b*
healthcare, but they do not help the client become a more active participant in his or
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
her care, and thus are not good examples of patient-centered care.
b* b* b* b* b* b* b* b* b* b* b*
Origin: Chapter 1- Public Health Nursing, 2
b * b* b* b* b* b*
2. A nurse is caring for an older client who is struggling to manage her type 2
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
diabetes mellitus. The nurse should recognize which social determinants of this
b* b* b* b* b* b* b* b* b* b* b*
client's health?(Select all that apply.)
b* b* b* b* b*
A) Household income of $23,000 per year b* b* b* b* b*
B) Reading level of a third grader b* b* b* b* b*
C) Medication ineffective due to error in prescription b* b* b* b* b* b*
D) Originally from Sudan b* b*
E) No family in the area b* b* b* b*
Ans: A, B, D, E
b* b* b* b*
Feedback:
The social conditions in which people live, their income, social status, education,
b* b* b* b* b* b* b* b* b* b* b*
literacy, home and work environment, support networks, gender, culture, and
b* b* b* b* b* b* b* b* b* b*
availability of health services are the social determinants of health. These conditions
b* b* b* b* b* b* b* b* b* b* b* b*
have an impact on the extent to which a person or community possesses the
b* b* b* b* b* b* b* b* b* b* b* b* b* b*
physical, social, and personal resources necessary to attain and maintain health. A
b* b* b* b* b* b* b* b* b* b* b* b*
medical error on the part of the client's primary care provider or nurse would not
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
constitute a social determinant of the client's health.
b* b* b* b* b* b* b* b*
Page
2
, Origin: Chapter 1- Public Health b* b* b*
3. ANursing,
nurse successfully persuades an obese client to perform a weekly weigh-in at home
b* b* b* b* b* b* b* b* b* b* b* b* b*
using a digital scale and record the weight in a log. This strategy is an example
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
of:
b*
A) Telehealth
B) Health information technology b* b*
C) Personal responsibility for health b* b* b*
D) Evidence-based nursing b*
Ans: C
b* b*
Feedback:
Personal responsibility for health involves active participation in one's own health
b* b* b* b* b* b* b* b* b* b*
through education and lifestyle changes. In this case, the client makes a positive
b* b* b* b* b* b* b* b* b* b* b* b* b*
change in lifestyle by monitoring body weight weekly. Telehealth is the use of
b* b* b* b* b* b* b* b* b* b* b* b* b*
electronic information and telecommunications technologies to support long-distance
b* b* b* b* b* b* b* b*
clinical healthcare, client and professional health-related education, public health, and
b* b* b* b* b* b* b* b* b* b*
health administration. Health information technology (HIT) is defined as the
b* b* b* b* b* b* b* b* b* b*
comprehensive management of health information and its exchange between
b* b* b* b* b* b* b* b* b*
consumers, providers, government, and insurers in a secure manner. Evidence-based
b* b* b* b* b* b* b* b* b* b*
nursing is the integration of the best evidence available with clinical expertise and
b* b* b* b* b* b* b* b* b* b* b* b* b*
the values of the client to increase the quality of care.
b* b* b* b* b* b* b* b* b* b* b*
Origin: Chapter 1- Public Health Nursing, 4
b * b* b* b* b* b*
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
task best exemplifies public health?
b* b* b* b* b*
A) Reading current nursing journals and integrating the latest research into dailyb* b* b* b* b* b* b* b* b* b*
practice b*
B) Instructing a client on how to best care for a suture site at home b* b* b* b* b* b* b* b* b* b* b* b* b*
C) Participating in a videoconference call with a client who lives in a remote area b* b* b* b* b* b* b* b* b* b* b* b* b*
D) Facilitating a community-wide smoking cessation program one month out of the b* b* b* b* b* b* b* b* b* b*
year b*
Ans: D b*
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
b* b* b* b* b* b* b* b* b* b* b* b* b*
people can be healthy. A community-wide smoking cessation program is a great
b* b* b* b* b* b* b* b* b* b* b* b*
example of a public health intervention, in that it involves the collective effort of
b* b* b* b* b* b* b* b* b* b* b* b* b* b*
societyto improve the health of its members. Reading and applying the latest nursing
b* b* b* b* b* b* b* b* b* b* b* b* b*
research is an example of evidence-based nursing. Instructing a client on how to best
b* b* b* b* b* b* b* b* b* b* b* b* b* b*
care for a suture site at home is an example of personal responsibility for health, but it
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
is not focused on the health of the greater community. Participating in a
b* b* b* b* b* b* b* b* b* b* b* b* b*
videoconference call with a client who lives in a remote area is an example of
b* b* b* b* b* b* b* b* b* b* b* b* b* b* b*
patient-centered care and of an effective implementation of technology, but it is not
b* b* b* b* b* b* b* b* b* b* b* b* b*
particularly related to public health.
b* b* b* b* b*
Page
3
, Origin: Chapter 1- Public Health b* b* b*
5. Public
Nursing,health nursing is distinguished from other specialties by adherence to eight
b* b* b* b* b* b* b* b* b* b* b*
principles. Which is one of the eight domains of public health nursing practice?
b* b* b* b* b* b* b* b* b* b* b* b* b*
A) Analytic assessment skills b* b*
B) Investigation of disease b* b*
C) Referral and follow-up b* b*
D) Case management b*
Ans: A
b* b*
Feedback:
The eight domains of public health nursing practice are as follows: Analytic
b* b* b* b* b* b* b* b* b* b* b*
assessment skills, policy development and program planning skills, communication
b* b* b* b* b* b* b* b* b*
skills, cultural competency skills, community dimensions of practice skills, public
b* b* b* b* b* b* b* b* b* b*
health science skills, financial planning and management skills, and leadership and
b* b* b* b* b* b* b* b* b* b* b*
systems thinking skills.
b* b* b*
Investigation of disease, referral and follow-up, and case management are all public
b* b* b* b* b* b* b* b* b* b* b*
health nursing interventions but are not domains of public health nursing practice.
b* b* b* b* b* b* b* b* b* b* b* b*
Origin: Chapter 1- Public Health Nursing, 6
b * b* b* b* b* b*
6. Public health nursing is distinguished from other specialties by adherence to
b* b* b* b* b* b* b* b* b* b*
eight principles. Which is one of the eight domains of public health nursing
b* b* b* b* b* b* b* b* b* b* b* b* b*
practice?
b*
A) Policy development and individual planning skills
b* b* b* b* b*
B) Individual dimensions of practice skills b* b* b* b*
C) Financial planning and management skills b* b* b* b*
D) Leadership and individual critical thinking skills b* b* b* b* b*
Ans: C
b* b*
Feedback:
The eight domains of public health nursing practice are as follows: Analytic
b* b* b* b* b* b* b* b* b* b* b*
assessment skills, policy development and program planning skills, communication
b* b* b* b* b* b* b* b* b*
skills, cultural competency skills, community dimensions of practice skills, public
b* b* b* b* b* b* b* b* b* b*
health science skills, financial planning and management skills, and leadership and
b* b* b* b* b* b* b* b* b* b* b*
systems thinking skills.
b* b* b*
Page
3
