Community ch 1

What are the primary functions of public health, as defined by the National Academy of Medicine? Select all that apply. Select all that apply Advocacy Education Assurance Assessment Policy development

assurance assessment policy development

The occupational health nurse working in a large manufacturing factory observes that 35% of the employees have chronic kidney and liver disease. Which groups does the nurse include to address the problem? Select all that apply. Employees State officials Federal officials Spouses of employees Company management National kidney foundation

employees state officials federal officials company management

Which population reflects a population of interest? First-time parents of newborns Children who are underweight and anemic Children who have not received vaccinations Adults who have hypertension and hyperlipidemia

first time parents of newborns

When caring for patients in a community with a high rate of hypertension, which social determinants of health will the community health nurse take into consideration? Select all that apply. Select all that apply Food Stress Transport Addiction Social support

food stress transport social support

Which is considered a determinant of health? Height Beliefs Attitude Genetics

genetics

Which domains reflect public health nursing competencies? Select all that apply. Select all that apply Technology Leadership Communication Program planning Financial planning Cultural competency

leadership communication program planning financial planning cultural competency

Which public health intervention is the nurse using when identifying individuals with unrecognized health risk factors or asymptomatic disease conditions? Outreach Screening Surveillance Case finding

screening

Which level of prevention is the community health nurse using when teaching a series of childbirth education classes for pregnant teenagers? Primary Tertiary Individual Secondary

secondary

What level of disease prevention is the public health nurse performing when conducting lead screening for children? Primary prevention Tertiary prevention Secondary prevention Quaternary prevention

secondary prevention

How does public health nursing incorporate the nursing process when identifying populations of interest at the community level? By identifying the health issues or problems By identifying the systems that require change By identifying the population at risk for the problem By identifying new patients who are at risk for a problem

By identifying the population at risk for the problem

While attending health fairs, a nurse identifies 130 individuals with risk factors for respiratory disease and connects them to a resource program for further assessment. What public health intervention is the nurse demonstrating? Outreach Case finding Health teaching Referral and follow-up

Case finding

Which domain is the community health nurse demonstrating when using a variety of methods to disseminate health information? Communication Public health science Cultural competency Leadership and systems thinking

Communication

Which action is the public health nurse taking when seeking optional solutions to perceived issues through problem solving with a community system, family, or individual? Counseling, Consultation, Collaboration, Coalition building

consultation

What is true of the Intervention Wheel? There are four interventions. Similar interventions are the same color. All wedges of the wheel are focused on systems. Interventions are grouped with related interventions.

interventions are grouped with related interventions

Which public health elements does the Intervention Wheel identify and define? Select all that apply. Select all that apply Surgery Outreach Advocacy Consultation Collaboration Delegated functions

outreach advocacy consultation collaboration delegated functions

Which interventions on the Intervention Wheel are applicable at all three levels of practice? Select all that apply. Select all that apply Outreach Case finding Surveillance Coalition building Community organizing

outreach surveillance

Which statements are true of the Intervention Wheel? Select all that apply. Select all that apply It is population based. It has three levels of practice. It is systems and family based. It is dissected into levels of practice. It identifies 15 public health interventions

It is population based Has three levels of practice It is dissected into levels of practice

What role is displayed by the public health nurse when acting on a patient's behalf? Referral, Advocate, Counselor, Consultation

advocate

Which patient community system is the nurse addressing when promoting the health benefits of yoga through community classes? Family Individual Aggregate Community

aggregate

How is the Intervention Wheel used? As a source of research evidence that guides nursing practice As a means of providing evidence to support nursing interventions As a framework for community and public health nursing practices As a systemic analysis of the types of services patients need the most

as a framework for community and public health nursing practices

What is tertiary prevention? Detecting health problems in the early stages Providing palliative care to promote comfort Promoting health and protecting against threats Limiting further negative effects from a health problem

Limiting further negative effects from a health problem

Which action falls under the government's role of assurance when it comes to public health? Collecting data on the population Monitoring the population's health status Providing leadership in developing policies Making sure that a competent public health workforce is available

Making sure that a competent public health workforce is available

Which public health intervention promotes alliances among organizations for a common purpose? Advocacy, Collaboration, Coalition building, Community organizing

coalition building

What are the three levels of practice of the Intervention Wheel? Educator, family, and healer Community, systems, and individual Community, nutritionist, and physician Nursing, family, and interprofessional team

community, systems, and individual

Which demonstrates the public health nurse practicing tertiary prevention? Follow-up referrals for patients who test positive for HIV Educating those who are HIV positive about management of the infection Encouraging testing and counseling for patients with known high-risk sexual behaviors Educating high school and college students about sexual abstinence and barrier methods of safer sex

Educating those who are HIV positive about management of the infection

Which is an example of a Healthy People 2020 objective for which public health nurses can implement interventions? Eliminating elevated blood lead levels in children Eliminating hospital-acquired nosocomial infections Ensuring the safe use of telemetry monitors in the coronary care unit Preventing illness related to the use of blood products in the operating room

Eliminating elevated blood lead levels in children

Which health strategies do community health nurses promote to advocate changes in personal health to prevent chronic disease? Select all that apply. Select all that apply Exercise Balanced diet Tobacco cessation Moderate consumption of alcohol Moderate consumption of saturated fats

Exercise Balanced diet Tobacco cessation Moderate consumption of alcohol

The nurse is educating an older adult who has limited social support, lives alone, and eats a nutritionally poor diet. Which topic would be an example of primary prevention? Encouraging the use of a meal-delivery service Planning a shopping list and menus for the prescribed diet Providing a referral for assessment of possible nutrition-related disorders Providing hospitalization or prescribed nutritional supplements for illness resulting from inadequate nutrition

Planning a shopping list and menus for the prescribed diet

Which populations should the school nurse include when addressing high rates of teen substance misuse in the community? Select all that apply. Select all that apply Parents Students Teachers School officials Business leaders

parents students school officials

Which level of prevention is the community health nurse using when teaching parents about nutrition, dental care, and safety for their young children? Primary Tertiary Aggregate Secondary

primary

How can public health nurses address the issue of emerging infections resulting from drug-resistant organisms? Select all that apply. Select all that apply Initiating research Providing education Building partnerships Reporting prescribers Implementing surveillance

providing education building partnerships implementing surveillance

Which nursing action reflects tertiary prevention? Screening for cervical cancer Educating a group of patients about dental care Providing mental health services for military veterans Offering birthing classes for pregnant teenage mothers

providing mental health services for military veterans

Which element concerns describing and monitoring health events through the ongoing and systemic collection, analysis, and interpretation of health data? Screening Case finding Surveillance Case management

surveillance

Which levels of practice are included in the Public Health Intervention Wheel? Select all that apply. Systems Community Surveillance Individual/family Population-based

systems community individual/family

Which statements reflect the Intervention Wheel? Select all that apply. Select all that apply Each level of practice contributes to improving the health of the population. Some elements of the Intervention Wheel are more important than others. One major public health intervention is defined with multiple levels of practice. The model is based only on surveillance, disease investigation, outreach, and screenings. The wheel encompasses three levels of practice: community, systems, and individual/family.

Each level of practice contributes to improving the health of the population. The wheel encompasses three levels of practice: community, systems, and individual/family.

Which questions from the community health nurse reflect the collection of demographic data? Select all that apply. Select all that apply "Can you tell me your age?" "What is your highest level of education?" "What is your race/ethnicity background?" "How well does your health insurance work?" "Which healthcare providers in this area service low-income families?"

"Can you tell me your age?" "What is your highest level of education?" "What is your race/ethnicity background?"

The community health nurse provides the patient with resources to help resolve issues with health insurance. During follow-up, the nurse notes that the patient was unable to call the insurance company. The nurse calls the insurance company on behalf of the patient. Which community health nursing roles are demonstrated? Select all Advocacy Surveillance Social marketing Coalition building Case management

Advocacy Case management

The public health nurse applies the communication skills competency domain to an older adult patient of Asian descent. Which nursing action reflects this competency? Identifying the effect of new healthcare policies on the patient Adapting services according to the patient's cultural preferences Assessing how familiar the patient is with medical terminology and concepts Using valid and reliable instruments for collecting data on the patient's health history

Assessing how familiar the patient is with medical terminology and concepts

Which are core functions of public health? Select all that apply. Select all that apply Research Assurance Counseling Assessment Social marketing Policy development

Assurance Assessment Policy development

Which community and public health nursing competencies are best summarized by the analytic assessment skills domain? Select all that apply. Select all that apply Assesses health literacy Identifies determinants of health and illness Identifies gaps and redundancies in data sources Interprets research relevant to public health interventions Identifies outcomes of health policy relevant to public health nursing practice

Identifies determinants of health and illness Identifies gaps and redundancies in data sources

A public health nurse is preparing to provide outreach services in the community. In which activities will the nurse engage? Select all that apply. Select all that apply Identifying populations of interest Finding out which populations are at risk Telling people how health services can be obtained Identifying data regarding threats to the health of populations Providing people with information addressing their health concerns

Identifying populations of interest Finding out which populations are at risk Telling people how health services can be obtained Providing people with information addressing their health concerns

How can nurses participate in the essential services of public health? Select all that apply. Link people to health services. Educate people on health issues. Diagnose health hazards in the community. Ensure a competent public health workforce. Work directly with pharmaceutical companies.

Link people to health services. Educate people on health issues. Diagnose health hazards in the community. Ensure a competent public health workforce.

Which example reflects a systems-level intervention within the element of disease investigation? The community health nurse works with a local church to provide free flu vaccines to congregation members. The community health nurse works with high schools in the county to teach students about nutrition and health. The community health nurse works with the state health department to coordinate a response to an outbreak of Zika in a rural area. The community health nurse works with business organizations to teach employees about physical activity lifestyle changes to improve health.

The community health nurse works with the state health department to coordinate a response to an outbreak of Zika in a rural area.

Which statement by a nursing student regarding assessing community health patterns indicates that more teaching is needed? "We must find out the most common environmental risks in our city." "We must analyze how population control can be linked to the decline of certain diseases." "It is important to find out the leading causes of death among the groups we serve." "We should compare infant mortality rates and teenage pregnancy rates in our community with regional, state, and national rates."

We must analyze how population control can be linked to the decline of certain diseases

A team of student nurses is developing ideas for public health programs to provide secondary prevention community service. Which program idea developed by the students would cause the nursing instructor to intervene? An early detection screening program for hypertension in college students A program for adolescents on the negative effects of smoking and drinking A referral program for treatment of people who have been exposed to high levels of toxins An early detection program for type 2 diabetes in individuals who have high body mass indices

a program for adolescents on the negative effects of smoking and drinking

Which are public health core functions of the U.S. government? Select all that apply. Select all that apply Education Assurance Translation Assessment Policy development

assurance assessment policy development

Which population-focused strategies do public health nurses primarily use to practice health promotion and prevention for specific groups of people? Select all that apply. Select all that apply Emphasizing all levels of prevention Focusing only on primary prevention Assessing the population's health status Considering broad determinants of health Providing direct care only to individuals and families

emphasizing all levels of prevention assessing the population's health status considering broad determinants of health

Which factors will the nurse who practices from a population health perspective focus on? Select all that apply. Select all that apply Genetics, Stressors, Education, Environment, Health services

genetics stressors environment

As a result of recent health reform, community nurses are assisting the United States in transitioning to which type of healthcare system orientation? Cost, Illness, Health, Disease

health

In the public health nursing competencies devised by the Quad Council of Public Health Nursing Organizations, which duties fall under the domain of "community dimensions of practical skills"? Select all that apply. Interpreting research relevant to public health interventions Identifying community partners for public health nursing practice Participating effectively in activities that facilitate community involvement Identifying gaps in research evidence to guide public health nursing practice Utilizing an ecological perspective in health assessment, planning, and interventions Accessing public health and other sources of information using informatics and information technologies

identifying community partners for public health nursing practice participating effectively in activities that facilitate community involvement utilizing an ecological perspective in health assessment, planning, and interventions

What is tertiary prevention? Detecting health problems in the early stages Providing palliative care to promote comfort Promoting health and protecting against threats Limiting further negative effects from a health problem

limiting further negative effects from a health problem

Which describes the Intervention Wheel? Nurse and provider focused Based on eight assumptions Made up of four levels of practice Made up of three distinct elements

made up of three distinct elements

Which topics will the public health nurse recognize as leading health indicators identified in Healthy People 2020? Select all that apply. Select all that apply Oral health Vaccine promotion Injury and violence Environmental quality Reproductive and sexual health

oral health injury and violence environmental quality reproductive and sexual health

Which statement is true regarding community health nursing and community-based nursing? All services in community health nursing are direct. Services in community-based nursing are largely indirect. The primary patient in community health nursing is the community. The primary patients in community health nursing are individuals and the family unit.

primary patient in community health nursing is the community

In which situation is the public health nurse assisting people in the community with primary prevention? Providing free measles immunizations to children Screening a group of people who have pre-hypertension Treating patients in the community who have active tuberculosis Giving out healthy snacks and exercise plans to people who are obese

providing free measles immunizations to children

The Intervention Wheel bases its framework on which assumptions? Select all that apply. Select all that apply Public health nursing practice focuses on populations. Public health nursing practice emphasizes disease prevention. Public health nursing practice considers the determinants of health. Public health nursing practice emphasizes pharmacologic treatment. Public health nursing practice uses the nursing process at certain levels of practice.

public health nursing practice focuses on populations public health nursing practice emphasized disease prevention considers the determinants of health

The community health clinic nurse observes a 25% increase in the number of women testing positive for human immunodeficiency virus (HIV). After reporting findings to designated state agencies, which investigative strategy does the nurse use next? Select all that apply. Select all that apply Interview neighborhood residents Work to resolve the identified risk factors Implement an HIV community education class Determine specific factors that are precipitating the increase Evaluate the effectiveness of HIV treatment in the community

work to resolve the identified risk factors determine specific factors that are precipitating the increase

Which describes the community level of practice? Collaborating with politicians to pass a health law Changing state policies that influence immunization rates Working with health educators on public awareness campaigns Conducting immunization clinics for people who cannot afford immunizations

working with health educators on public awareness campaign

Which action will the nurse take for a surveillance intervention? Working with a peer nurse from another organization to help plan a health event in the community Teaching patients in the community about the different modifiable and nonmodifiable risk factors for type 2 diabetes Searching for and identifying people who have risk factors for certain diseases and connecting them with the proper resources Monitoring the different types of health events in the community and collecting the health data documented through patient questionnaires and surveys

Monitoring the different types of health events in the community and collecting the health data documented through patient questionnaires and surveys

The community health nurse is planning a screening event in the community. Which action made by the nurse supports screening as a public health intervention? Gathering data on the health threats to those in the community Using social media to market the event to those in rural and urban areas Developing an alliance with another health organization to help with the event Identifying people who have unrecognized health risks and would benefit from the event

Identifying people who have unrecognized health risks and would benefit from the event

The community health nurse is preparing to provide outreach services to a population in a community. Which activity will the nurse implement? Describing and monitoring health events through ongoing collection and analysis of health data Acting on the group's behalf with the intention of developing the community members' ability to plead their own cause Creating an interpersonal relationship with a community to increase the community members' capacity for self-care and coping Locating at-risk populations and providing them with information about the nature of the concern, what can be done about it, and how the people can obtain services

Locating at-risk populations and providing them with information about the nature of the concern, what can be done about it, and how the people can obtain services

Which community-level nursing intervention is an example of secondary prevention? Screening for scoliosis in middle school children Teaching elementary school children how to wash their hands Demonstrating appropriate newborn care to pregnant high school girls Administering the pneumonia vaccine to older adults in a senior center

Screening for scoliosis in middle school children

What health promotion strategy is the nurse addressing when providing family planning counseling? Health protection Health promotion Population control Disease prevention

disease prevention

Which public health nursing intervention is the nurse demonstrating by locating populations at risk and providing information about the nature of the concern? Outreach, Counseling, Advocating, Consultation

outreach

Following nutritional counseling, the patient states, "The food will be too expensive, and I will have to spend so much time cooking food I don't even like." Which key concept of the Health Belief Model is demonstrated here? Cues to action Perceived barriers Perceived severity Perceived susceptibility

perceived barriers

What focus can a community health nurse take to move beyond the direct care of individuals and families? Population focus Geographical focus Primary prevention Community subpopulation

population focus

The nurse is teaching a group of student nurses about population-focused practice. Which statement made by the student nurse indicates teaching has been effective? "Population-focused practice considers selective determinants of health." "Population-focused practice focuses on certain parts of the population at a time." "Population-focused practice is based on the assessment of the population's health." "Population-focused practice emphasizes primary and secondary levels of prevention."

population focused practice is based on the assessment of the population's health

According to the Institute of Medicine (IOM), what is the definition of public health? Public health is what communities use to determine the medical and clinical needs of the people. Public health is the state of health, wellness, and illness within a certain region and population of people. Public health is the measure of how many people within a community are living without any diseases. Public health is what society does collectively to ensure conditions exist in which people can be healthy.

public health is what society does collectively to ensure conditions exist in which people can be healthy

What priorities for public health in the 21st century have been identified by the Institute of Medicine (IOM)? Select all that apply. Select all that apply Enhancing safety Building partnerships Developing systems of accountability Strengthening the public infrastructure Developing an infrastructure for public health research

strengthening the public infrastructure building partnerships developing systems of accountability

A nurse is developing an educational program for individuals with uncontrolled diabetes and either stage 2 or stage 3 renal disease. The goal of the program is to slow or prevent the progression of renal disease. What type of intervention does this program describe? Primary prevention Tertiary prevention Secondary prevention Quaternary prevention

tertiary prevention

How does the public health nurse establish a relationship at the systems level? The nurse develops relationships with patients that foster trust. The nurse initiates a relationship with the state health department. The nurse establishes relationships with families in the community. The nurse creates a relationship with local organizations that support the community.

the nurse initiates a relationship with the state health department

Which are included in the community health nurse's assessment function related to health conditions, risks, and resources? Select all that apply. Data collection Statistics analysis Policy development Information sharing Directing resources

data collection statistics analysis information sharing

Which level of prevention is illustrated when a public health nurse offers cholesterol and blood glucose screenings in a community center? Primary, Tertiary, Secondary, Quaternary What level of prevention is reflected by administering flu vaccines to older adults in a senior center? Primary, Tertiary, Secondary, Quaternary A public health nurse is providing influenza vaccinations to patients at a clinic. At what level of practice is this nurse performing? Family, System, Individual, Community

secondary primary individual

Which questions should be considered by public health nurses to gain awareness of health patterns and health indicators that directly affect their practice? Select all that apply. Select all that apply What is the educational mix of the community? How does climate change affect the community? What are the most serious environmental risks in the city? Which are the most serious communicable disease threats in the neighborhood? Which are the leading causes of death and disease among the various groups in the community? How do teen pregnancy and infant mortality rates in the community compare with regional, state, and national rates?

What are the most serious environmental risks in the city? Which are the most serious communicable disease threats in the neighborhood? Which are the leading causes of death and disease among the various groups in the community? How do teen pregnancy and infant mortality rates in the community compare with regional, state, and national rates?

Which services reflect the leading health indicators identified by Healthy People 2020 as major public health concerns? Select all that apply. Select all that apply Prenatal care Cancer research Genetic therapy City bus service Gun violence prevention Routine dental cleaning

prenatal care city bus service gun violence prevention routine dental cleaning