Foundations for population health in community/public health nursing

a nurse is considering applying for a position as a PHN. which would be a reason this position would be appealing? - ANS its autonomy and independence Which of the following is the best brief definition of community? - ANS A social group with common goals within a geographic area 1. Which of the following is the underlying science or area of study on which public health is based? - ANS Epidemiology The elizapbeth poor law of 1601 is similar to which current law? - ANS Medicaid 2. A nurse is employed at the state department of public health. Which of the following is a fundamental principle guiding his practice? - ANS The interaction of the local-state-federal partnership is critical to success. A nurse is practicing in the community but also has the community as the target of practice. Which of the following best describes the activities of this nurse? - ANS Sharing assessment findings and health goals with every community group that will listen How did the Industrial Revolution result in previous caregiving approaches, such as care by families, friends, and neighbors, becoming inadequate? - ANS Migration and urbanization resulted in increased demand for care. 3. 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? - ANS 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. 3. 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 dont simply focus on helping persons who engage in poor health behaviors to behave appropriately? - ANS Society must offer healthy choices, offer support, and practice helpful policies. A colonist is working in the public health sector in early colonial America. Which of the following activities would have likely been completed? - ANS Collecting vital statistics and improving sanitation 4. Which of the following federal agencies is most influential in public health activities? - ANS Department of Health and Human Services 4. A nurse is focusing on the process dimension of a communitys health. Which of the following interventions will the nurse most likely implement? - ANS Implementing health promotion activities such as education programs Why did American citizens become interested in establishing government-controlled boards of health? - ANS They were afraid of infectious diseases such as yellow fever. 5. Which of the following agencies are responsible for implementing and enforcing local, state, and federal public health codes and ordinances and providing essential public health programs to a community? - ANS Local health agencies 5. A nurse has invited community members to participate as full partners in creating changes to improve the health of the community. Which of the following may be an unexpected consequence of this action? - ANS A change in the distribution or redistribution of power and influence 6. During the assessment phase, the nurse compiles and interprets available data and draws conclusions as to the communitys strengths and concerns. Which of the following best describes why the nurse would also conduct interviews with key informants? - ANS To generate nonstatistical data such as values, beliefs, and perceived needs A nurse was employed by the Marine Hospital Service in 1800. Which of the following interventions would the nurse most likely have completed? - ANS Providing health care for merchant seamen 6. A nurse at a migrant clinic assists clients with completing the application process to receive supplemental food assistance. Which of the following roles of the nurse is being used? - ANS Advocate What was the outcome of the Shattuck Report? - ANS Guidelines for modern public health organizations were eventually developed. 7. Which of the following best describes the primary reason life spans have notably lengthened over the past 100 years? - ANS Advances in public health 7. A nurse just accepted a position in community health and has been assigned to a neighborhood very close to where she lives. Which of the following best describes the rationale for this assignment? - ANS To allow participant observation by the nurse Which of the following nurses is famous for creating public health nursing in the United States? - ANS Lillian Wald 8. Which of the following best describes how public health nurses (PHNs) differed from other health care professions in the early twentieth century? - ANS PHNs gave care to powerless groups. 8. A community health nurse drives through her assigned community before visiting the community groups scheduled for the day. She then drives through the community again that evening before going home. Which of the following best describes the nurses reason for driving through the community twice in the same day? - ANS Driving through twice allows the nurse to see the community when many residents are at work or at school and then again when most are at home. Which of the following would have been the focus of a school nurse in the early 20th century? - ANS Investigating causes of absenteeism 9. Which of the following best describes the role of nursing in community health? - ANS Application of nursing and public health theory in promoting, preserving, and maintaining health of individuals, families, or communities 9. Before beginning to survey the community to assess its health needs and strengths, the nurse reviews various documents, including local statistical data and the minutes of the previous meeting of the health care agency. Which of the following best explains why the nurse would start with this activity? - ANS To save time and effort and perhaps have new insights A nurse is reviewing the original work of the National Organization for Public Health Nursing. Which of the following accomplishments of today was started within this organization? - ANS Standardizing public health nursing education 10. A community health nurse is trying to decrease the incidence of emerging infections caused by drug-resistant organisms. Which of the following actions would be most appropriate for the nurse to implement? - ANS Teach parents that antibiotics should not be used for treatment of viral infections or for prevention of bacterial infections. 10. A new nurse is overwhelmed with the needs of the community. Which of the following should be the first priority of the nurse? - ANS A problem that is of high concern to the community 11. Which of the following objectives is most appropriate for the development of a community-oriented nursing care plan? - ANS Of mothers receiving nutrition counseling, 80% will identify five sources of calcium by the end of class. 11. A nurse is considering applying for a public health nurse position at a local health department. Which of the following minimum levels of educational preparation should the nurse have obtained? - ANS Baccalaureate degree in nursing Why were nurses so unprepared for public health nursing in the early twentieth century? - ANS Nurses were educated in diploma schools, which focused on hospital nursing. A nurse is considering joining the American Public Health Association. What information about this organization should be considered when making this decision? - ANS APHA provides a forum for nurses to discuss their public health concerns. 12. A public health nurse has reviewed the objectives of Healthy People 2020. Which of the following should be the focus for programming in the community related to communicable diseases? - ANS Providing information about the hazards of multiple sexual partners During which of the following activities is the nurse in community health acting as a partner in change? - ANS Teaching anger management skills to a group of teens in a halfway house Why did the Metropolitan Life Insurance Company establish and retain for several years the first community nursing health program for policyholders? - ANS Having public health nurses visit policyholders and their families led to a decline in policyholder deaths, thus lowering costs for the insurance company. 13. Which of the following is a core competency required of public health nurses? - ANS Skill in developing policy and planning programs A nurse is assessing a communitys openness to change. Which of the following variables indicate that the community is ready? - ANS High social-economic status in the community as a whole Which client would have been most likely to receive care from the Frontier Nursing Service? - ANS A woman in labor A nurse is working toward an objective to Increase to at least 90% the proportion of all pregnant women who receive first trimester prenatal care. During which of the following phases of the nursing process would determination of the objective occur? - ANS Planning phase 14. Which of the following factors is causing nursing to change so quickly? - ANS Economic issues A public health nurse is determining what type of programming should be developed for the community. Which of the following is the most crucial factor that will influence program development? - ANS Federal funding for priority diseases or groups 15. A nurse is implementing a primary prevention activity to decrease the incidence of communicable disease. Which of the following actions is the nurse most likely taking? - ANS Partnering with schoolteachers to teach and observe hand washing techniques in elementary school children 15. A nurse is assessing the status of a communitys health. Which of the following will the nurse examine? - ANS Vital statistics A nursing student during World War II would likely join which group? - ANS The Cadet Nurse Corps 16. A public health nurse traces sexual contacts of clients with sexually transmitted diseases for screening and treatment. Which of the following levels of prevention is being implemented? - ANS Secondary prevention A nurse is assessing the structure of a communitys health. Which of the following data will the nurse examine? - ANS Treatment and service use patterns from local health agencies and care providers 1. A community health nurse encourages members of the community to partner and assist in creating health programs. Which of the following best describes the rationale for this action? (Select all that apply.) - ANS Participating in planning results in having a vested interest in the outcome Partnering results in increased effectiveness A public health nurse is compiling information about how to promote early detection of breast cancer in women. Which document would most likely provide useful information about this topic? - ANS . Healthy People 2020 17. A community mental health nurse is implementing a tertiary prevention activity. Which of the following interventions is most likely being completed? - ANS Providing case management services that link clients with serious mental illnesses to mental health and community support services A public health nurse is involved in health care reform. Which of the following best explains why the nurse is involved in these efforts? - ANS To help improve health care access A nurse is working at a local health department. Which of the following would most likely be completed by this agency? - ANS Filing of a certificate for any birth or death in a community 2. A community health nurse is beginning to work with a newly assigned community. Which of the following would be appropriate actions for the nurse to take to help ensure acceptance? (Select all that apply.) - ANS Asking those with whom the nurse interacts in the course of daily living their perception of the community (e.g., clerks in grocery stores or pharmacies) Attending community events such as festivals or fairs and interacting with participants How did Florence Nightingale help bring about community health nursing? - ANS She focused on all soldiers and their environment. She kept careful records on what was done and what were the results. A nurse is employed by a state public health department. Which of the following functions would most likely be completed by this agency? (Select all that apply.) - ANS Delegating power to engage in certain activities such as quarantine Enforcing laws and regulations that protect public health Monitoring health status of citizens within its geographic boundaries 3. A nurse is deciding which alternative interventions should be implemented. Which of the following factors must be considered by the nurse when making this decision? (Select all that apply.) - ANS The expected effect or outcome of each possible intervention How interested others are in helping in any particular intervention The likelihood that the intervention will resolve the problem A nurse working with Mary Breckinridge would have likely assisted with - ANS Developing health programs geared toward improving the health care of the rural populations Ensuring positive outcomes for pregnancies among women in the Appalachian region Which of the following activities are addressed by most public health departments on the federal, state, and local levels? ( - ANS Collecting and analyzing various health statistics Identifying and planning for high-risk populations Planning for and responding to emergencies 4. A nurse wants to determine whether health problems have been improved and interventions have been appropriate and successful over a period of time. Which of the following data should the nurse examine? (Select all that apply.) - ANS Demographic data Education and school statistics How did nursing education change in the 1950s? - ANS Baccalaureate nursing programs typically included public health nursing concepts. Junior and community colleges began offering nursing programs. 3. What did events after September 11, 2001, clearly demonstrate? (Select all that apply.) - ANS Public healths need for additional funding and resources c. The unrecognized importance of nurses in lowering health care costs d. Lack of adequate vaccines to meet communitys needs 5. Which of the following activities are considered to be part of the core competencies for public health professionals? (Select all that apply.) - ANS Defining variables relevant to current public health problems Obtaining and interpreting information regarding risks and benefits to the community How did health care and its delivery change during the 1980s? - ANS Laws began to be passed that discouraged the use of alcohol, drugs, and tobacco. c. Nurse practitioners were increasingly used to provide care. d. Public health programs suffered reduced political support, financing, and effectiveness. 6. A community health nurse has been recently hired to work in an unfamiliar community. Which of the following persons would be effective key informants for the nurse? (Select all that apply.) - ANS Communitys immigrant group activist Local politicians such as the town mayor