Nursing Practice; Caring for Populations 3rd
Edition (F.A. Davis, ) by Savage, Gillespie
and Whitehouse, Isbn no; 9781719647144, all
25 Chapters Covered.Newest 2026.
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. - 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 REF: p. 191
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Since the Intervention Wheel was first published in 1998, it has:
a. guided national policy.
b. been used as a tool in deciding licensure issues for State Boards of Nursing.
c. been incorporated into the public health curricula of many nursing programs.
d. gained wide acceptance internationally. - 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 REF: p. 192
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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. -
answer- ANS: B
It is important to know that 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 REF: p. 192
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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. - 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 REF: p. 192
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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 - 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."