Population Health Exam 1 Evolve Book Questions
A middle school student approaches the school nurse and asks, "Can I speak with you about something important?" The school nurse responds affirmatively but should also state which of the following? -"Anything you tell me will be kept private and confidential." -"If anything you tell me indicates that someone is in danger, the parents and school officials must be told." -"It may be best for me to set up an appointment with the school counselor." -"You can always speak to me if you are in trouble or when you need someone to talk to."
-"If anything you tell me indicates that someone is in danger, the parents and school officials must be told."
A nurse demonstrates cultural competence by using statements such as: -"I know how you feel." -"Tell me about your health care beliefs." -"Let me show you the way you should do this." -"You can do things in a more modern way now."
-"Tell me about your health care beliefs."
Congress-supported categorical funding has produced what negative effect on the delivery of health care services? -Beginning of 2-year associate's degree programs in nursing -A reduction in comprehensive community health programs -End of insurance company support for visiting nurses -Rise in hospital-based care
-A reduction in comprehensive community health programs
A current challenge for home health care is the issue of family responsibility for the role of caregiver. Which of the following statements reflect underlying factors that contribute to this home health care challenge? Select all that apply. -Able family members with multiple obligations -Debilitation of family members -Number of women working outside the home -Reimbursement to family -Social support systems for caregivers
-Able family members with multiple obligations -Number of women working outside the home -Social support systems for caregivers
Which of the following is a unique characteristic of the role of the occupational health nurse? -Adapts to the needs of the agency and specific groups of workers. -Works as a solo clinician and/or independent contractor. -Is interdisciplinary in nature. -Specializes in health promotion and education.
-Adapts to the needs of the agency and specific groups of workers.
The faith community nurse role arose out of the challenges faced by families to succeed in meeting the demands of young children, teens, and aging parents as well as which of the following challenges? -Inadequate training for caregivers -Increased hospital length of stay -Lack of consumer demand for health care decisions involvement -Society's lack of accountability for health care decision making
-Inadequate training for caregivers
The greatest risk for experiencing work-related accidents with subsequent injuries is to which of the following? -New workers with less than 1 year of experience on the current job -Older workers with 2 years of experience on the job -Women over 50 years of age with 3 years of experience on the current job -Workers with safe, low-level exposure on the job
-New workers with less than 1 year of experience on the current job
Nurses in community health who understand the basis of their own behaviors and how those behaviors help or hinder the delivery of competent care to persons from cultures other than their own are demonstrating the cultural competence development process construct of: -cultural awareness. -cultural desire. -cultural encounter. -cultural skill.
-cultural awareness.
A nurse overhears the doctor saying, "Do not give him milk; he is from Africa." The nurse reflects on the comment and determines that the: Select all that apply. -doctor is culturally competent. -doctor is prejudiced. -doctor should have called an interpreter. -doctor's ability to assess nutritional practices based on culture may be limited. -doctor is planning care based on racial enzymatic differences.
-doctor is culturally competent. -doctor is planning care based on racial enzymatic differences.
The community-oriented nursing care function of policy development is supported by the ethical tenet of: -competency. -do no harm. -what is ethical is also good policy. -to each person a fair share.
-what is ethical is also good policy.
Public health programs are designed with the goal of improving a population's health status. Which of the following apply to public health? Select all that apply. -It is a branch of medicine. -It is funded at a local level. -It is health status monitored at the state level. -It is implemented at the federal level. -It is an organized community approach.
-It is health status monitored at the state level. -It is an organized community approach.
A widely recognized chemical health hazard in health care environments is which of the following? -Burn-out -Latex allergy -Radiation -Viruses
-Latex allergy
In health care facilities and clinical laboratories, the occupational health nurse needs to be aware of the worker groups that are at risk for exposure to biological agents. Besides the health care workers, worker groups at risk for exposure to biological infectious agents may include which of the following? -Clerical staff -Maintenance personnel -Receptionists -Chaplains
-Maintenance personnel
A child with severe macular degeneration and some hearing loss will be attending the third grade in a local school. A tertiary prevention intervention the school nurse should perform would be which of the following? -Assess the child's language skills, motor abilities, and social abilities. -Ensure that a telephone is available for calling emergency personnel or parents. -Lead educational programs to address coping strategies and stress management techniques. -Meet with the assigned teachers to discuss classroom seating to enhance the child's learning experience.
-Meet with the assigned teachers to discuss classroom seating to enhance the child's learning experience.
A community-oriented nurse has identified obesity as a problem in the middle school. The next step in a population-focused practice is to make information available about the health of the middle school students. This describes the public health core function of: - assessment. - assurance. - policy development. - research.
assessment
A nurse in a clinic that provides direct care services to clients with tuberculosis would be classified as practicing: - community-based nursing -community-oriented nursing -institutional nursing -public health nursing
community-based nursing
Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old who is being seen for an earache. The type of nursing Jennifer practices is: -community-oriented nursing. -community-based nursing -tertiary health nursing -public health nursing
community-based nursing
A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high schools is providing: - community-oriented care. - community-based care. - secondary care. - tertiary care.
community-oriented care
A school nurse teaches three middle school students with asthma conditions techniques to minimize their incidence of bronchial spasms. This is an application of: - community-based nursing -community-oriented nursing -institutional nursing -public health nursing
community-oriented nursing
In a federally funded preschool program such as Head Start, nursing services that include conducting developmental-level screening for cognitive and psychomotor development of individual children would most likely be considered community-oriented nursing care when: -individual results are compared with established standards for children of the same age group. -program characteristics are assessed for their effectiveness in making the school population healthier. -referral is provided for a child identified with delayed psychomotor development -treatment is initiated for a child with an identified learning disability
individual results are compared with established standards for children of the same age group.
Public health nursing is a specialty with a distinct focus and scope of practice and requires a special knowledge base different from other specialty areas of nursing. A public health nurse would first be interested in: -populations with the highest rate of diabetes -educational materials for individuals with diabetes -new technology for diabetic care - drug treatments for diabetes
populations with the highest rate of diabetes
In a community clinic that screens and treats individuals for cardiovascular disorders, the nurse practicing public health/population-focused nursing would most likely ascertain: - a holistic treatment plan. - a specific clinical diagnosis. - individual dietary interventions for cardiovascular disorders. - the prevalence rate of cardiovascular disorders among various groups.
the prevalence rate of cardiovascular disorders among various groups
A current dramatic trend in nursing in community health involves: -clinical surveillance. -shifts in research focus. -special needs programs. -vulnerable population shifts.
-vulnerable population shifts.
A major emerging public health issue facing nursing in community health is: -bioterrorism. -health literacy. -health ministries. -welfare reform.
-welfare reform.
What was the initial impact of African American nurses working in the public health setting? (SATA) -African American nurses in the South were paid less than their white counterparts. -African American nurses held supervisory roles. -Public health nursing certificate and graduate education programs were segregated in the South. -Nursing education for Southern nurses was provided through free educational grants. -Study outside the South for Southern nurses was difficult to afford and study leaves from the workplace were rarely granted.
-African American nurses in the South were paid less than their white counterparts. -Public health nursing certificate and graduate education programs were segregated in the South. -Study outside the South for Southern nurses was difficult to afford and study leaves from the workplace were rarely granted.
A recent news article reported the death of a 60-year-old road construction worker on a day with a posted heat advisory. An occupational health nurse would recognize the additional host factors that contributed to this fatality as which of the following? -Age and work practices -Gender and lifestyle -Health status and age -Work practices and health status
-Age and work practices
A unique characteristic of the standards of practice for school nurses is which of the following? -Alignment with the American Academy of Pediatrics (AAP) guidelines for providing health care to students -Requirement of bachelor's degrees in nursing and special certification in school nursing -Restriction on delegation of care to other school personnel -Use of research findings in the practice of school nursing
-Alignment with the American Academy of Pediatrics (AAP) guidelines for providing health care to students
A school district in the Midwest has included health education, physical education, health services, nutrition services, and counseling, psychological, and social services as components of the student health services. Additionally, the district has integrated family/community involvement, staff health promotion, and a commitment to a healthy school environment in its program design. This school district has adopted the school health service program scope of which of the following? -CDC's Coordinated School Health Program -Healthy Schools, Healthy Communities program -Healthy People 2020 -School-linked program
-CDC's Coordinated School Health Program
A second-grade child with cerebral palsy receives services from a physical therapist and occupational therapist during the child's academic day. The school nurse sets up the schedule to ensure that the therapists' visits do not unnecessarily affect the child's academic day negatively. This role of the school nurse is best described as which of the following? -Case manager -Counselor -Consultant -Direct caregiver
-Case manager
A nurse is working with her church to develop a new outreach program aimed at providing support services for recovering substance abusers in the local community. What agency might the nurse contact to secure federal funding for the program? -Center for Faith-Based and Neighborhood Partnerships -Office of Global Affairs -Office of Public Health Preparedness -The National Health Services Corp
-Center for Faith-Based and Neighborhood Partnerships
Nurses come to home health from a variety of educational and practice settings. Based on educational level, nurses are prepared to practice at various levels. To ensure the public of competence and quality in a highly competitive health care environment, it may become necessary for nurses to seek which of the following? -Accreditation -Advanced degrees -Certification -Specialization
-Certification
Each client in the Medicare home care program must be under the care of a doctor (medicine, podiatry, or osteopathy). The home health nurse must involve the doctor in developing a plan of care. The role of the doctor in the home health interdisciplinary team is to do which of the following? -Achieve the optimal level of functioning by teaching. -Certify/recertify the medical necessity and plan of care. -Deal with the social, emotional, and environmental factors that affect well-being. -Provide maintenance, preventive, and restorative treatment for clients.
-Certify/recertify the medical necessity and plan of care.
The public health nurse deals with the examination of a community setting to determine the community's health status. Which of the following activities should be considered in the assessment phase?(SATA) -Assisting communities to implement and evaluate plans and projects -Building constituencies to work with the community -Collecting, analyzing, and disseminating information -Evaluating the social, economic, and environmental characteristics of the population -Questioning the availability of health services to the community
-Collecting, analyzing, and disseminating information -Evaluating the social, economic, and environmental characteristics of the population -Questioning the availability of health services to the community
Which of the following factors assisted such community-oriented nursing pioneers as Lillian Wald to develop approaches and programs to solve the health care and social problems of the late 1800s? Select all that apply. -Community health's focus on teaching and prevention -Establishment of settlement houses -Establishment of the Town and Country Nursing Services in large cities -Lack of public interest in limiting disease -Middle and upper class fear of diseases
-Community health's focus on teaching and prevention -Establishment of settlement houses -Middle and upper class fear of diseases
The school nurse at the intermediate level arranges for a presentation by the trauma educator at the local regional medical center. Bicycle and helmet safety will be the primary topic at the school's open house. This is an example of which of the following school nurse roles? -Community outreach -Counselor -Consultant -Case manager
-Community outreach
Which of the following dimensions is an essential component of parish nursing? -Assertiveness -Compassion -Organizational skills -Fiscal responsibility
-Compassion
Home health agency types, whether official, private and voluntary, combination, hospital based, or proprietary, are similar in terms of which of the following? -Conditions of participation (COP) for Medicare and Medicaid -Federal income tax exemption status or accreditation status -Governance models and administrative structures -Homemaker services or service contracting practices
-Conditions of participation (COP) for Medicare and Medicaid
Virtue ethics is distinctly different from moral justification via theories or principles because the emphasis of virtue ethics is practical reasoning applied to: -character development. -consequentialism. -distributive justice. -egalitarianism.
-character development.
An effective industrial disaster plan is a written plan that is shared with all who will be involved, such as the internal first responders, external community-based emergency personnel (transportation, fire, EMS, and hospitals), and other key resources in the community. Another factor that influences the effectiveness of an industrial disaster plan is which of the following? -Addressing activities for work areas that are at greater risk -Conducting a response agency worksite walk-through -Testing with a biannual drill -Training specific employees for fire brigade procedures
-Conducting a response agency worksite walk-through
A community-based HIV/AIDS clinic would be concerned about which aspects of the Public Health Code of Ethics? Select all that apply. -Autonomy of the professional -Confidentiality when possible -Funding -Promoting advocacy for disenfranchised persons -Respecting only community rights
-Confidentiality when possible -Promoting advocacy for disenfranchised persons
What are some of the benefits of an electronic medical record in the public health setting? Select all that apply. -Timely billing and financial reimbursement for services provided -Improved public reporting of medication errors -Coordination of referrals and facilitation of chronic disease management -Improvement of quality measurement and monitoring -Incorporation of protocol reminders for prevention, screening, and management of chronic disease
-Coordination of referrals and facilitation of chronic disease management -Improvement of quality measurement and monitoring -Incorporation of protocol reminders for prevention, screening, and management of chronic disease
A nurse exclaims proudly to other nurses at the agency, "The care I provide is the same for everyone. I treat everyone the same." In fact, this nurse is demonstrating what inhibitor to developing cultural competence? -Cultural blindness -Cultural competence -Cultural conflict -Culture shock
-Culture blindness
A nurse who is interested in disaster training through the Community Emergency Response Team (CERT) program would look to which government jurisdiction or agency to seek the certification? -Local system -State system -Department of Homeland Security -US Department of Health and Human Services
-Department of Homeland Security
The home health nurse completes an initial assessment on a recently admitted home health client. The nurse should now analyze the assessment data and complete what step in the nursing process that is consistent with the standards of home health practice? -Diagnosis -Implementation -Outcome identification -Planning
-Diagnosis
Which of the following statements accurately reflects the current status of nursing in community health? -Each type of nurse is needed in today's communities. -Community health serves only clients with chronic conditions. -Comprehensive reform of health care is required. -People no longer believe they can protect themselves.
-Each type of nurse is needed in today's communities.
In the United States, the current system of the local government's responsibility for providing care for the disenfranchised emerged from: -Elizabethan Poor Law. -Florence Nightingale. -Public Health Service (PHS). -Federal Emergency Relief Administration (FERA).
-Elizabethan Poor Law.
During a recent heat advisory, baggage handlers at the local airport were placed on a 1-hour shift rotation. This work-health interaction demonstrates the theoretical application of which of the following? -Aggregate populations -Epidemiologic model -Host risk factor -Occupational exposure
-Epidemiologic model
Secondary prevention activities are the largest responsibility of the school nurse and may include which of the following? Select all that apply. -Establishing an emergency plan when a child or staff member needs immediate care -Giving medications to children during the school day -Participating in developing an individual education plan (IEP) for students with long-term health needs -Screening for vision, hearing, height and weight, oral health, TB, and scoliosis -Teaching standard precautions to all staff
-Establishing an emergency plan when a child or staff member needs immediate care -Giving medications to children during the school day -Screening for vision, hearing, height and weight, oral health, TB, and scoliosis -Teaching standard precautions to all staff
Home health care can be defined as a broad spectrum of health and social services offered in the home environment to recovering, disabled, or chronically ill persons. Participation in providing the needed maintenance care for the home care client is essential by which of the following? -Chaplain -Family caregivers -Home health aides -Physician
-Family caregivers
Changes in the workforce will pose new challenges to protecting worker health and safety. Which of the following trends will influence business strategies to increase health status, employment longevity, and satisfaction of workers? Select all that apply. -Expanded younger workforce -Female workforce increasing -Increase in minority workers -Job shifts to manufacturing -More racially diverse workforce
-Female workforce increasing -Increase in minority workers -More racially diverse workforce
The historical figure whose work in providing care to poor people, primary prevention, and environmental health established that individual as nursing's first moral leader and community-oriented nurse was: -Sister Mary Augustine. -Florence Nightingale. -William Rathbone. -Lillian Wald.
-Florence Nightingale.
The historical nursing figure who contributed to establishing the foundation for current community health and nursing in community health by working in military field hospitals using a population-based approach that improved nursing care and environmental conditions was: -Florence Nightingale. -Frances Root. -Lillian Wald. -Mary Breckinridge.
-Florence Nightingale.
What are some of the effects of technology in the area of home health care? Select all that apply. -High technology equipment increases expense. -Technology decreases legal liability. -Technology has the potential for increased privacy. -Technology quickly becomes outdated when newer developments occur. -There is inconsistent quality of resources available on the Internet.
-High technology equipment increases expense. -Technology quickly becomes outdated when newer developments occur. -There is inconsistent quality of resources available on the Internet.
What are some examples of programs which may be provided at the local health department level? Select all that apply. -Immunization clinics -Health education -Family planning services -Licensing of health care professionals -Quality and safety data
-Immunization clinics -Health education -Family planning services
The difference between the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupational Safety and Health (NIOSH) can best be described as which of the following? -NIOSH enforces workplace safety, and OSHA educates about occupational injury and illness prevention. -NIOSH monitors work-related injury/illness incidence, prevalence, and prevention, and OSHA governs financial compensation under workers' compensation. -OSHA is part of the Department of Labor, and NIOSH is part of the National Institutes of Health. -OSHA sets the workplace safety standards, and NIOSH examines potential hazards of new work technologies and practices.
-OSHA sets the workplace safety standards, and NIOSH examines potential hazards of new work technologies and practices.
The occupational health nurse is aware that several employees from the accounting/finance departments are complaining about exhaustion, anxiety, and heartburn and notes an increase in absenteeism for these departments. On further exploration, the nurse learns that a new chief financial officer (CFO) has been in place for 1 month. The new CFO is demanding higher productivity and turnaround with expectations of working overtime and weekends to "get the job done" ahead of deadlines. The occupational health nurse, using the epidemiologic model, recognizes this as a psychological agent that can best be described as which of the following? -Employment conditions -Nonfatal violence -Organizational culture -Shift work
-Organizational culture
Primary care refers to personal health care for the most common needs of members of a community. Which of the following statements also differentiates primary care from primary health care? Select all that apply. -Primary care consists of a multidisciplinary team. -Primary care is provided within the context of family and community. -Primary care encourages self-care and self-management. -Primary care provides first-contact, continuous, comprehensive, and coordinated care. -Primary care provides preventive, curative, and rehabilitative services.
-Primary care is provided within the context of family and community. -Primary care provides first-contact, continuous, comprehensive, and coordinated care.
At the end of each school term, the school nurse schedules an equipment safety assessment of each school playground in the district. The school nurse uses the guidelines of the US Consumer Protection Safety Commission and prepares a report of the findings for the school board for planning purposes. This intervention by the school nurse is an example of which of the following? -Community outreach -Primary prevention -Secondary prevention -Tertiary prevention
-Primary prevention
Implementing a community-level program, such as walking for exercise, to assist citizens in improving health behaviors is an example of which level of prevention? -Primary prevention -Secondary prevention -Tertiary prevention -Disease promotion
-Primary prevention
Since 2000, home health agencies have been paid by the federal government based on which type of reimbursement? -Diagnostic-related groups -Distributive care -Episodic care -Prospective payment system
-Prospective payment system
A home health nurse is working with a client who requires a catheter insertion and wound care. The nurse is also helping the client and family to develop positive coping skills and identify resources that will help the client to attain a state of optimal functioning. It is important for the nurse to specifically document nursing services provided because of which of the following? -The agency is required to practice within the guidelines set up by regulatory agencies. -Each criterion has minimum standards to which the program must adhere. -Nurses are required to provide supervision of services. -Reimbursement is dependent on the provision of skilled care.
-Reimbursement is dependent on the provision of skilled care.
The future of school nursing is very strong and will be further enhanced by the future trend in which of the following? -Development of an HIV/AIDS health curriculum -Enhanced use of picture boards -Improving the air quality of school buildings -Telehealth and telecounseling
-Telehealth and telecounseling
An urban school-based clinic is located in a school district where many of the children lack health insurance. The school nurse continues to provide screening, assessment, first aid, and recordkeeping but can refer students who require additional services to the nurse practitioners that staff the school-based health center (SBHC) on the school grounds. The SBHC is federally funded under which of the following? -CDC's Federal School Health Program -The Patient Protection and Affordable Care Act -Healthy People 2010 -School-linked program
-The Patient Protection and Affordable Care Act
The federal agency most responsible for improving the health status of the American people is the: -Office of Health Preparedness. -Office of Global Affairs. -Food and Drug Administration. -US Department of Health and Human Services.
-US Department of Health and Human Services.
As a result of recent social policy changes, public health agencies have shifted their emphasis from a focus on primary health care services to a focus on core public health activities because of new and reemerging public health issues. A critical aspect of ensuring the public health system's ability to address these issues is: -additional regulation. -adequate funding. -bioterrorism strategy. -media coverage.
-adequate funding.
The ethical question, "Are persons assigned to develop community knowledge adequately prepared to collect data on groups and populations?", is based on an ethical tenet that supports the community-oriented core function of: -assessment. -assurance. -policy development. -compliance.
-assessment.
A state agency has received multiple complaints regarding the availability of elder transportation services to a specific county senior center. The state agency assigns a public health nurse to work with the community to evaluate its program for elder transportation services to publicly sponsored elder care programs. The public health core function applied is: - assurance. - policy development. - primary prevention. - public transportation.
-assurance
A community-based hospice nurse has an Asian male client with terminal stage cancer. The client complains that he is in continuous pain and receives no relief from the codeine prescribed by his primary care practitioner (PCP). The nurse contacts the client's PCP to discuss replacing the prescription of codeine with another pain-reducing non-codeine-based drug. The nurse is demonstrating knowledge of the cultural organizing factor of: -biological variance. -communication. -space. -time perception.
-biological variance.
As congregations realize the need for care and care for one another, their individual and corporate relationships with their Creator often are enhanced, thereby increasing their resilience for future crisis situations. The characteristic of faith community nursing philosophy that best endorses this principle is that faith community nurse services: -emphasize strengths of individuals, families, and communities. -focus on the faith community and its ministry. -focus on the centrality of the spiritual dimension. -consider health, spiritual health, and healing as an ongoing dynamic process.
-emphasize strengths of individuals, families, and communities.
The role/activity of the nurse in community health that was most important during the disasters of September 11, 2001, and the subsequent anthrax bioterrorism attack involved: -assessment. -client-level teaching. -enhanced surveillance activities. -free and low-cost immunization.
-enhanced surveillance activities.
The nurse in community health serves as a bridge between the at-risk populations and the community's health care resources. This role is based on the nurse's responsibility to: -collect and analyze data on programs. -ensure that all populations have access to affordable, quality health care. -monitor and assess critical health status indicators. -provide evidence-based use of resources.
-ensure that all populations have access to affordable, quality health care.
A Public Health Service nurse working for the Indian Health Service is working with a client diagnosed with cancer. The client uses sweat lodges to "cure the disease." The nurse understands that within the culture, disease is often perceived as disharmony with other forces, and clients may look to hot or cold treatments to resolve or cure a cancerous condition. The nurse is integrating her knowledge of the cultural organizing factor of: -biological variations. -communication. -environmental control. -space.
-environmental control.
To ensure the success of a faith community's health ministry program, the parish nurse must ensure that the wellness committee addresses issues of: -experiential preparation. -financing and fund-raising. -referrals. -retired professionals.
-financing and fund-raising.
In caring for a young adult from West Africa, the community nurse is introduced to another individual who is referred to as "auntie." A culturally competent nurse who is aware of the basic organizing factor of culture related to social organization would: -assess the competence of the "auntie" to care for the young adult. -assume that the "auntie" is related to one of the young adult's parents. -declare that the young adult is capable of making personal health decisions. -find out who is considered to be a member of the family.
-find out who is considered to be a member of the family.
A nurse who speaks only English has just gotten a new client for an intake interview. The client is a refugee who has very limited English proficiency (LEP). The nurse should: -get an interpreter. -see whether another nurse, more comfortable with refugees, will work with the client. -see what helpful information is on the Internet. -try to communicate with hand gestures.
-get an interpreter.
The term "instructive district nursing" was coined in the 19th century to describe the relationship of nursing to: -health education. -home health care. -settlement houses. -visiting nurse services.
-health education.
An effective program strategy for health promotion efforts guided by the Healthy People 2020 framework that can be used by the faith community is establishing: -food pantries. -health fairs. -statements of faith. -volunteer training.
-health fairs.
Nurses are reclaiming their tradition of healing and affirming the independent functions of nursing. A heritage of health and healing can also be found in the foundations of faith communities through activities such as: Select all that apply. -holding grief groups. -providing meals to families in crisis. -sponsoring health fairs. -visiting the homebound. -volunteering in community AIDS care groups.
-holding grief groups. -providing meals to families in crisis. -sponsoring health fairs. -visiting the homebound. -volunteering in community AIDS care groups.
A new role for public health that is used in widespread public emergencies is: -communicable disease control. -first responder. -incident commander. -professional triage.
-incident commander.
Communities of faith strive to be caring communities and strongly value the fellowship among members. The faith community nurse recognizes that sharing concerns with pastoral staff and fellow congregants gains valuable support to promote optimal healing. The ethical issue of concern in this matter is: -group rights. -individual rights. -statements of faith. -virtue ethics.
-individual rights.
An academic medical center and a local senior living complex employ a parish nurse. The faith community nurse also holds a faculty position at the university's school of nursing. This nurse is practicing a type of parish nursing known as the: -advanced-practice model. -clinical specialty model. -congregation-based model. -institution-based model.
-institution-based model.
Mary Breckinridge established the Frontier Nursing Service (FNS) in 1925. One of Breckinridge's primary contributions to health care in the United States was: -the Federal Emergency Relief Administration (FERA). -introduction of the first nurse-midwives. -the nursing process. -occupational health nursing.
-introduction of the first nurse-midwives.
In applying Ethical Principles for Effective Advocacy, the ethical principle that empowers the client (groups or communities) to make knowledgeable decisions is: -act impartially and offer frank, independent advice. -act in accordance with the client's wishes and instructions. -act in the client's best interest. -keep the client properly informed.
-keep the client properly informed.
Community-oriented nursing in the 21st century has been influenced by historical events and government initiatives that support the approach of: -caring for the disenfranchised. -Illness care. -keeping the public healthy. -preventing acute illness.
-keeping the public healthy.
A nurse in community health is visiting with an older adult Asian woman for the first time. The nurse has not encountered many clients from this culture. An effective way to ensure client-centered care is performed is to: -explain to the client how the nurse intends to fix the problem. -focus on the differences between the two cultures. -tell the client how Western medicine will fix her problem. -listen to the client's perceptions of the problems.
-listen to the client's perceptions of the problems.
Ethical decision making is conducted in a generic framework. One step of ethical decision making is to place an ethical issue or dilemma within a meaningful context. The rationale for this step is: -multiple factors affect the formulation and justification of ethical issues and dilemmas. -the nature of ethical issues and dilemmas determines the specific ethical approach used. -people cannot make sound ethical decisions if they cannot identify ethical issues and dilemmas. -professional persons cannot avoid choice and action in applied ethics.
-multiple factors affect the formulation and justification of ethical issues and dilemmas.
The model of care delivered in the home setting which focuses on symptom management at the end of life is known as: -hospice care. -palliative care. -personal care. -transitional care.
-palliative care.
The most significant commonalities between the ANA's Scope and Standards of Public Health Nursing Practice and the Public Health Code of Ethics assert that advocacy is conducted in the: -assertiveness arena. -education arena. -litigation arena. -policy arena.
-policy arena.
The nurse in community health prepares a community assessment for the local planning commission and presents data that indicate an increase in violence among young children and teens within the community. The nurse projects the cost of care related to violence in ED visits, treatment of stabbing and gunshot wounds, and rehabilitation. The nurse also produces information on school absenteeism, graduation rates, and teenage rape and pregnancy. The planning commission creates a task force to explore the community outlets for child and teen recreation and the current community education programs available to families and students related to violence prevention, negotiation, and mediation. This can best be described as an example of: -disparities in health care. -outreach work. -power of partnerships. -social issues.
-power of partnerships.
In 1902 Lillian Wald introduced the concept of school nursing to address the problem of student absenteeism by: -enforcing the Department of Health's rules and regulations. -excluding infectious children from the school environment. -providing and obtaining medical treatment for absent students. -providing shoes and clothing for absent students.
-providing and obtaining medical treatment for absent students.
Nonprofit home health agencies can be reimbursed for home health services through Medicare, Medicaid, and private insurance companies. A major difference between an official agency and a voluntary or private agency is that official agencies receive additional: -client payments. -charity support. -public funding. -third-party payments.
-public funding.
To achieve the major goals of Healthy People 2020, increasing quality and years of healthy life and eliminating health disparities, the partnership between federal, state, and local agencies is critical, and local community coalitions are encouraged because the: -federal government is ultimately responsible for the health status of the nation. -public demands that the government protect the people. -public health departments do not have the resources to accomplish these goals independently. -state health department would require a universal approach to achieving objectives.
-public health departments do not have the resources to accomplish these goals independently.
The broad practice of public health requires a set of skills, knowledge, and attitudes in all disciplines. The baccalaureate level of entry for nursing is currently endorsed to achieve the core competencies of public health because of: -core public health competencies typically being learned in the workplace. -encouragement for nurses with an associate's degree to seek further degrees. -financial planning and management skills learned at the master's level. -rapid change and limited resources in public health.
-rapid change and limited resources in public health.
A key characteristic of faith community nursing services is to facilitate collaborative health ministries in the faith communities by: -embracing individuals across the life span. -respecting diverse traditions of faith. -requiring statements of faith. -using a Judeo-Christian theological framework.
-respecting diverse traditions of faith.
It is important that nurses understand the nontraditional healing practices of their clients because: -folk practices are usually ineffective. -nurses can refer clients to the appropriate local folk healers. -safe, effective nontraditional healing methods can be blended with Western medicine. -the nurse must understand them to help the client give them up.
-safe, effective nontraditional healing methods can be blended with Western medicine.
A nurse works in a free clinic for uninsured low-wage employees in the community. The free clinic setting operates in a primary health care (PHC) strategy. The nurse would most likely focus on: -incidence of the disease. -physician orders for the individual. -pathophysiology of the disease. -self-care/management.
-self-care/management.
Parents can expect their children to be immunized for communicable diseases before entering kindergarten in the local school system because: -primary-care clinics focus on prevention. -primary-care clinics maintain adequate supplies of immunization. -the public health system has mandates for immunization. -the public health system provides good access to immunization clinics.
-the public health system has mandates for immunization.
Caring and the ethic of care is a core value of nursing in community health. Femenist ethics is pertinent to public health because: -gender-related voices to moral judgment are applied. -principles of utilitarianism are applied. -differentiate distributive justice from beneficence. -the role of political and social structures in health are recognized.
-the role of political and social structures in health are recognized.
Provision 1 of the Code of Ethics for Nurses addresses practicing with compassion and respect for the person being cared for regardless of the person's status, attributes, or the nature of the health problem. In applying this provision to practice, the public health nurse understands that: -there are times when individual rights may be limited because of public health concerns. -the profession's integrity is at stake. -the nurse's primary commitment is to the individual being cared for. -this applies only to nursing in community health.
-there are times when individual rights may be limited because of public health concerns.
An example of the use of the nursing process within a faith community nursing practice is the: -contractual agreement. -evidence of a mature faith. -polity of the faith community. -use of a congregational member needs survey.
-use of a congregational member needs survey.
