NURS 460 Exam #1 Study Set with Questions and Correct Answers

NURS 460 Exam #1 Study Set with Questions and Correct Answers Organizing a task force to look at the problem of lead poisoning within the county is an example of which public health intervention A. Coalition building B. Surveillance C. Outreach D. Health Teaching ✅A: Coalition building Jennifer is a community health nurse in a large metropolitan area. According to the American Nurses Association's Code of Ethics (2001), community health nurses must align themselves with public health programs that promote and preserve the health of popul ations by influencing A. socioeconomic issues. B.psychosocial issues. C. sociocultural issues. D.developmental issues. ✅C. The Code of Ethics of the American Nurses Association (2001) promotes social reform by focusing on health policy and legislation to positively affect accessibility, quality, and cost of health care. Community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing sociocultural issues, such as human rights, homelessness, violence, and stigma of illness. Directing care toward socioeconomic issues, psychosocial issues, or developmental issues focuses on individuals, families, or groups, which in turn contributes to the health of the total population Mary is a nursing student doing her senior project in community health. Part of her assignment is to conduct an activity that illustrates "social health" within a group in her community. The most appropriate activity for Mary to organize would be a A. neighborhood block party. B. food bank in a local church. C. community yard sale. D. school fundraiser for the school band. ✅B. Social health is a positive interaction among groups with an emphasis on health promotion and illness prevention. The correct choice is a food bank in a local church because a food program alleviates problems with hunger and nutrition that affect health. The other options do not relate to health. It has been estimated that individual behaviors and environmental factors are responsible for what percentage of all premature deaths in the United States A. 20% B. 40% C. 50% D. 70% ✅C. According to Orleans and Cassidy (2011), 50% of all premature deaths in the United States are a result of individual behaviors and environmental factors. According to Mokdad, Marks, Stroup, and Gerberding (2004), tobacco use leads the list of "actual cause s of death" at almost 20% of annual deaths in the United States. Early public health nurse Lillian Wald and her associates were successful in addressing health and disease in the immigrant community by A. supporting political activities to improve social and environmental conditions of immigrant families. B. administering bedside nursing care to immigrants and their families. C. teaching the immigrant family members to provide health care in the home. D. obtaining and administering medications to the immigrants and their family members. ✅A. These early public health nurses saw that neither administering bedside clinical nursing, including obtaining and administering medication, nor teaching family members to deliver care in the home adequately addressed the true determinants of health and disease. They resolved that collective political activity should focus on advancing the health of aggregates and improving social and environmental conditions by addressing the social and environmental determinants of health. Wald and her colleagues (1971) impacted the health of the community by organizing the community, establishing school nursing, and taking impoverished mothers to testify in Washington, DC. Disease prevention activities protect people from disease and the effects of disease. An example of primary disease prevention is: A. teaching people with diabetes how to prevent complications. B. administering vaccines to children before kindergarten. C. checking the skin of farm workers for signs of skin cancer. D. identifying and testing individuals exposed to someone with tuberculosis. ✅B. Every 10 years, the U.S. Department of Health and Human Services publishes a national prevention initiative titled Healthy People. One of the new objectives for Healthy People 2020 is to: A. achieve access to preventive services of all Americans. B. improve the nation's ability to prevent, prepare for, respond to, and recover from a major health incident. C. reduce health disparities among Americans. D. increase independence of older Americans. ✅B. One of the new objectives for Healthy People 2020 focuses on preparedness for major health incidents. Achieving access to preventive services of all Americans and reducing health disparities among Americans were goals of Healthy People 2000, and increasing the independence of older Americans was a goal of the original 1979 Healthy People version. Which of the following is an example of "community health nursing" rather than "community -based nursing"? A. An RN assisting a doctor in a pediatrician's office B. An RN visiting a home -bound patient to monitor for congestive heart failure C. An RN reviewing school clinic records to determine which children are not up to date on their immunizations D. An RN dispensing medications in a nursing home ✅C. An RN reviewing school clinic records to determine which children are not up to date on their immunizations Community health nursing" focuses on groups of people, with the primary responsibility being the population as a whole (as with a school). Care typically focuses on health promotion and illness prevention, such as the nurse who reviews school clinic record s to determine which children are not up to date on their immunizations. "Community -
based nursing" is setting specific and emphasizes care to individuals, often in homes and ambulatory clinics, and typically addresses acute and chronic health conditions. The other options are examples of nurses providing care to individuals. Which of the following entities strives to improve the health of all the public by promoting healthy lifestyles, preventing disease and injury, and protecting the health of communities? A. Managed care organizations (MCOs) B. Medicare C. Public health system D. Affordable Care Act ✅C. The Public health system strives to improve the health of entire populations by promoting healthy lifestyles, preventing disease and injury, and protecting the health of communities. Although MCOs and government financing entities (Medicare and Medicaid) f ocus on the health of their clients, they do not focus on the community and population in general. The focus of the Affordable Care Act is to mandate health insurance for individuals. A variety of health indicators are used by health providers, policy makers, and community health nurses to measure the health of the community. Indicators that illustrate the health status of a community and may be useful in analyzing health patterns over time include: (Select all that apply.) A. morbidity. B. mortality. C. birth rates. D. life expectancy. E.cancer incidence rates. ✅A, B, D, E Public health efforts focus on prevention and promotion of population health. The local level of the health care system provides direct services to community members through