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Correct.
In 1988, the Institute of Medicine (IOM) published a report on the future of public health and its
mission that defined public health as:
a. what public-private partnerships do to treat vulnerable populations.
b. what the government does to ensure that vital programs are in place.
c. what the U.S. Public Health Service does to prevent disease, promote health, and deliver
services.
d. what society does collectively to ensure the conditions in which people can be healthy. correct
answers D
A registered nurse is seeking a position as a public health nurse. In reviewing the job description,
the nurse would expect to find a description of a position that focused on functions such as:
a. monitoring pregnant teenagers for symptoms of complications of pregnancy.
b. offering free hypertension screening and treatment referral at local health fairs to low-income,
uninsured, community members.
c. partnering with local seasonal farmworkers to design a program aimed at preventing illness
and injury, and advocating for this population with local political and community leaders.
d. preventing injury among a population of elderly residents in an assisted living facility and
treating residents' chronic illnesses. correct answers C
A public health nurse leader is encountering barriers when trying to shift the public health
agency's efforts to a population-focused practice. The reasons peers are not supportive of the
proposed shift to a population focus are most likely related to:
a. agency colleagues' push for nurses to focus on population initiatives.
b. costs associated with staff training and revision of documents.
c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct client care and services. correct
answers D
The role and goals of the community health nursing practice can best be described as:
a. community-based interventions aimed at promoting, preserving, and maintaining the health of
populations residing in institutional facilities such as nursing homes.
b. education of nurses and other staff working in community-based and community-oriented
settings to improve the overall effectiveness of their programs to meet client needs.
c. population-level strategies aimed at promoting, preserving, and maintaining the health of
populations through the delivery of personal health care services to individuals, families, and
groups in an effort to improve the health of the community as a whole.
d. activities targeted at improving the health status of clients served by community-based health
service agencies such as hospice and home health agencies. correct answers C
, A community-oriented nurse has identified obesity as a problem in the middle school. The next
step in a population-focused practice is to make information available about the health of the
middle school students. This describes the core public health function of:
a. assessment.
b. assurance.
c. policy development.
d. research. correct answers A
The state public health agency has received multiple complaints regarding the availability of
elder transportation services to a specific county senior center. The state agency assigns a public
health nurse to work with the community to evaluate its program for elder transportation services
to publicly sponsored eldercare programs. The public health core function applied is:
a. assurance.
b. policy development.
c. primary prevention.
d. public transportation. correct answers A
A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high
schools is providing:
a. community-oriented care.
b. community-based care.
c. secondary care.
d. tertiary care. correct answers A
A community-oriented nurse conducts home visits to new parents to assess the health status of
the infant, the parent-child relationship, the parents' knowledge regarding the care of the infant,
and the need for health department and social services referrals to support the needs of the new
parents and the infant. This can best be described as an example of:
a. clinical community health practice.
b. community-based practice.
c. population-focused practice.
d. public health nursing. correct answers A
Nurses should consider opportunities for population-focused practice that result from the rapid
transformation of health care delivery from a medical model to a health promotion/disease
prevention model. An example of such opportunity is:
a. operator of a nurse practitioner-run urgent care center in a major retail location.
b. director of clinical services spanning inpatient and community-based settings that provide a
wide range of services to the populations seen by the system.
c. clinical director of a home health agency.
d. school nurse position in the local high school. correct answers B
Public health nursing specialists are interested in which of the following topic(s)? (Select all that
apply.)
a. Educational materials for individuals with HIV/AIDS
b. Evaluation of an outreach program for at-risk pregnant teenagers