Solutions.
A nurse in a clinic that provides direct care services to clients with tuberculosis would be
classified as practicing:
A. community-based nursing.
B. community-oriented nursing.
C. institutional nursing.
D. public health nursing. correct answers A
Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old who is
being seen for an earache. The type of nursing Jennifer practices is:
A. community-oriented nursing.
B. community-based nursing.
C. public health nursing.
D. tertiary health nursing. correct answers B
A school nurse teaches three middle school students with asthma conditions techniques to
minimize their incidence of bronchial spasms. This is an application of:
A. community-based nursing.
B. community-oriented nursing.
C. institutional nursing.
D. public health nursing. correct answers A
The public health nurse deals with the examination of a community setting to determine the
community's health status. Which of the following activities should be considered in the
assessment phase?
Select all that apply.
A. Assisting communities to implement and evaluate plans and projects
B. Building constituencies to work with the community
C. Collecting, analyzing, and disseminating information
D. Evaluating the social, economic, and environmental characteristics of the population
E. Questioning the availability of health services to the community correct answers C, D, E
In a federally funded preschool program such as Head Start, nursing services that include
conducting developmental-level screening for cognitive and psychomotor development of
individual children would most likely be considered community-oriented nursing care when:
A. individual results are compared with established standards for children of the same age group.
B. program characteristics are assessed for their effectiveness in making the school population
healthier.
C. referral is provided for a child identified with delayed psychomotor development.
D. treatment is initiated for a child with an identified learning disability. correct answers A
,Public health nursing is a specialty with a distinct focus and scope of practice and requires a
special knowledge base different from other specialty areas of nursing. A public health nurse
would first be interested in:
A. drug treatments for diabetes.
B. populations with the highest rate of diabetes.
C. educational materials for individuals with diabetes.
D. new technology for diabetic care. correct answers B
A state 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 elder care 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
In a community clinic that screens and treats individuals for cardiovascular disorders, the nurse
practicing public health/population-focused nursing would most likely ascertain:
A. a holistic treatment plan.
B. a specific clinical diagnosis.
C. individual dietary interventions for cardiovascular disorders.
D. the prevalence rate of cardiovascular disorders among various groups. correct answers D
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 public health core function of:
A. assessment.
B. assurance.
C. policy development.
D. research. correct answers A
What was the initial impact of African American nurses working in the public health setting?
Select all that apply.
A. African American nurses in the South were paid less than their white counterparts.
B. African American nurses held supervisory roles.
C. Public health nursing certificate and graduate education programs were segregated in the
South.
D. Nursing education for Southern nurses was provided through free educational grants.
, E. Study outside the South for Southern nurses was difficult to afford and study leaves from the
workplace were rarely granted. correct answers A, C, E
In the United States, the current system of the local government's responsibility for providing
care for the disenfranchised emerged from:
A. Elizabethan Poor Law.
B. Florence Nightingale.
C. Public Health Service (PHS).
D. Federal Emergency Relief Administration (FERA). correct answers A
The term "instructive district nursing" was coined in the 19th century to describe the relationship
of nursing to:
A. health education.
B. home health care.
C. settlement houses.
D. visiting nurse services. correct answers A
The historical nursing figure who contributed to establishing the foundation for current
community health and nursing in community health by working in military field hospitals using a
population-based approach that improved nursing care and environmental conditions was:
A. Florence Nightingale.
B. Frances Root.
C. Lillian Wald.
D. Mary Breckinridge. correct answers A
Which of the following statements accurately reflects the current status of nursing in community
health?
A. Each type of nurse is needed in today's communities.
B. Community health serves only clients with chronic conditions.
C. Comprehensive reform of health care is required.
D. People no longer believe they can protect themselves. correct answers A
In 1902 Lillian Wald introduced the concept of school nursing to address the problem of student
absenteeism by:
A. enforcing the Department of Health's rules and regulations.
B. excluding infectious children from the school environment.
C. providing and obtaining medical treatment for absent students.
D. providing shoes and clothing for absent students. correct answers C
Mary Breckinridge established the Frontier Nursing Service (FNS) in 1925. One of
Breckinridge's primary contributions to health care in the United States was:
A. the Federal Emergency Relief Administration (FERA).
B. introduction of the first nurse-midwives.
C. the nursing process.
D. occupational health nursing. correct answers B