Solutions
. Which of the following communities should the nurse suggest receive funding
first?
a. Community A - with 23 single teenage pregnancies in a city of 500
b. Community B - with 45 single teenage pregnancies in a city of 1000
c. Community C - with 90 single teenage pregnancies in a city of 2000
d. Community D - with 90 single teenage pregnancies in a city of 1500
d - ans -Several small communities have applied for grant funding from the state
department of health to help decrease their teenage pregnancy rate
A nurse advises a client with cardiovascular disease to reduce the amount of
sodium in their diet to daily. Which of the following levels of prevention is being
used by the nurse? (paige)
a. Primary prevention
B. Secondary prevention
c. Tertiary prevention
d. Treatment, but not prevention
-The community health nurse asks a client "Have you ever been exposed to any
radiation or chemical liquids, dust, mists, or fumes?" The nurse is conducting an:
(paige)
a. Environmental advocacy activity
b. Environmental compliance activity
C. Environmental health assessment
d. Environmental risk communication
Non-point sources - ans -A major category related to air pollution; includes
vehicles, water (i.e. cars, trucks, buses, toxic algae bloom)
Endemic - ans -Occurrence of a disease within an area is in excess of expected
levels
,Epidemiologic triangle - ans -A model that helps to explain complex relationships
among host, agent and environment.
Morbidity - ans -How often a disease (that is generally fatal) occurs in a specific
area or period of time; Can include attack rate (proportion of persons exposed
who develop disease.
Prevalence - ans -Measure of an existing disease in a population at a particular
time.
Consumer Confidence Report - ans -Also known as Right to Know reports; report
that discloses results of drinking water testing to consumers.
Pandemic - ans -Epidemic spread of the problem over several countries or
continents
FEMA - ans -National comprehensive government organization responsible for
disaster management
epidemic - ans -Number of new cases or events in a population at risk during a
specified time.
Suspected case - ans -signs and symptoms a person is exhibiting are consistent
with a particular disease
Mortality - ans -Death rate of a disease in a population during a specific time
incidence - ans -Persistent (usual) presence of a disease with low to moderate
numbers of cases
Confirmed case - ans -Laboratory confirmed clinical specimen that meets the
diagnostic criteria of a specific disease / disorder
ARC / MRC - ans -Aids in disaster response on a local or national level. Volunteers
from all areas of licensed and unlicensed personnel can be involved.
,-What are the 6 themes of focus for Environmental Health?
i. Outdoor air quality
ii. Surface and ground water quality
iii. Toxic substances and hazardous wastes
iv. Homes and communities
v. Infrastructure and surveillance
vi. Global environmental health - ans
-What is the WHO (World Health Organization) definition of environment?
The WHO defines environment, as "all the physical, chemical, and biological
factors external to a person, and all the related behaviors." Environmental health
consists of preventing or controlling disease, injury, and disability related to the
interactions between people and their environment. - ans
A newly hired public health nurse is familiarizing himself with the levels of
disaster management. Which of the following actions is a component of disaster
prevention?
a. Outlining specific roles of community agencies
b. Prioritizing care of individuals
c. Providing stress counseling
d. Identifying community vulnerabilities
b - ans -A community is experiencing the Honeymoon phase following a disaster.
Which of the following is most likely to occur in the community?
f - ans -True or False: The timing of a disaster does not influence the types of
injuries that will occur.
b. National Library of Medicine - ans -A nurse wants to find information about
environmental threats that are present in the community. Which of the following
would be the best source of data for the nurse?
a. CINAHL
b. National Library of Medicine
c. State health department
d. Closest local library
, 1. Pick a topic and develop a question to study (PICO)
2. Search literature for evidence
3. Evaluate the evidence found
4. Implement research to practice
5. Evaluate the effect of the research - ans –
List and describe the steps in the EBP process
a. Assessment
Evidence-based research done by the system management in public health will
focus on monitoring health, diagnosing health, and investigating health. These
three parts are focused inside of the assessment phase of the core public health
literacy.
b. Policy Development
Next, the system management focuses on policy development and inside this
phase is informing, educating, and empowering the public health. Also inside of
this phase is mobilizing the community partnerships and developing policies. This
part of the core public health function is critical and detailed.
c. Assurance
Lastly, the system management bases their research on the assurance of the core
public health functions. Inside of this phase, researchers are focussing on the
linking to and actually providing care to the people in public health. They are also
assuring competent workforce and evaluating each phase.
Each part of this core fu - ans -Identify EBP nursing interventions related to the
core public health functions
Cognitive
Learning that is concerned with acquisition of problem-solving abilities. It is the
learning that is active, constructive, and long-lasting. It helps engage the learning
process and teaching people to use their brain more effectively when making
connections with new things. This is the knowledge based of mental skills. For
example learning notes for an instrument, use memory of where the finger
placement is and then it all will connect the dots, making connection boxes or
circles of items that connect but are different in other ways.
b. Affective
Part of a system that understands and addressing how people learn. The growth
in feelings or emotional areas within their self or attitude. For example with