Public Health Nursing Ch. 31

Which statement by the nurse regarding health equity would indicate a need for clarification?

"Health equity within a population indicates an increased need for support."

Which factor is related to poverty and can negatively impact the health of a population? Select all that apply. One, some, or all responses may be correct.

High-risk jobs Poor nutrition Multiple stressors

Which factor is a physical determinant of health? Select all that apply. One, some, or all responses may be correct.

Housing Accessibility

Which nursing intervention reflects a focus on population health goals?

Immunization clinic for new immigrants

When caring for a 50-year-old female patient, the nurse would inquire about which screening examination? Select all that apply. One, some, or all responses may be correct.

Immunizations Mammograms Colonoscopies Cholesterol screenings Papanicolaou smears

Which nursing intervention would minimize health disparities for patients in rural areas?

Implement telehealth services.

Which health change affects Medicaid recipients under the Affordable Care Act (ACA)? Select all that apply. One, some, or all responses may be correct.

Improved access to medications Decreased hospital lengths of stay Increased rates of early cancer detection

When coordinating in-home services for a patient with a physical disability, which action would the nurse perform before contacting outside agencies?

Obtain written informed consent.

Which intervention by the nurse would meet the needs of a community experiencing health disparities in the physical environment?

Offer bottled water when supplies are contaminated.

Which action would demonstrate a focus on eliminating social disparities in a community?

Offering high school diploma courses

Which statement regarding the benefits of centers providing comprehensive services to the community would indicate a need for further education?

"The concept moves away from preventive care."

Which statement indicates a critical understanding of the social determinants of health?

"The more money a person makes, the better their health outcomes."

Which information would be considered a physical determinant factor in a patient who has developed lung cancer?

Chemical exposure

Which patient would have the highest risk of health disparities?

14-year-old male with developmental disabilities

Which role would the nurse be performing when helping a patient obtain assistance for paying their electric bill?

Advocator

Which factor contributes to health inequity? Select all that apply. One, some, or all responses may be correct.

Age Gender Poverty Education Geography

Which agency would the nurse contact to provide immediate and long-term assistance to a low-income family who was displaced by fire and is without resources to meet their current needs?

American Red Cross

Which individual would be a member of a vulnerable population? be correct. Select all that apply. One, some, or all responses may

An elderly persn A victim of abuse A person with a physical disability

Which nursing intervention would be performed by a case manager?

Arrange appointments for outpatient hemodialysis.

Which nursing action would advocate on behalf of individuals in the community?

Assisting a family to get food stamps

Which adverse childhood event (ACE) carries the highest risk of a child developing social problems?

Being a victim of sexual abuse

Which patient situation demonstrates marginalization related to health disparities?

Cannot afford care

Which issue makes older adult populations more vulnerable to safety issues? Select all that apply. One, some, or all responses may be correct.

Co-morbidities Vision changes Impaired mobility

Which factor would the nurse consider when developing programs for the home health population?

Common characteristics

Which role would apply to the nurse in community-based care areas? Select all that apply. One, some, or all responses may be correct.

Complex care team management Care coordination in the health care system Protocol-based chronic disease management

Which nursing intervention would the nurse perform when a patient reports having insufficient income and resources to afford the medication?

Contact the health care provider.

Which approach would involve different agencies in a community collaborating to eliminate barriers to health care?

Cross-sectoral

Which nursing intervention would improve resilience and hope in the community? Select all that apply. One, some, or all responses may be correct.

Developing health policies Delivering health promotion classes Coordinating care between providers

Which role would the nurse perform when working with vulnerable populations? Select all that apply. One, some, or all responses may be correct.

Direct care provider Community assessor Population health advocate

Which factor would the nurse include in the home assessment of an adolescent first-time parent? Select all that apply. One, some, or all responses may be correct.

Electricity Signs of abuse Ability to bond

Which concept would be under the umbrella of social justice? Select all that apply. One, some, or all responses may be correct.

Equality Egalitarianism

Which resource would the nurse encourage a patient to explore when developing a support network? Select all that apply. One, some, or all responses may be correct.

Family Friends Neighbors

Which factor would suggest a patient is at low risk of disenfranchisement? Select all that apply. One, some, or all responses may be correct.

Family support Strong church base Few health problems

Which group is an example of an aggregate within a rural community?

Farmers

Which patient would the nurse refer to a safety net provider?

HIV/AIDS diagnosis

Which nursing role would the nurse be performing when providing information to the American Indian community on diabetes mellitus prevention?

Health educator

Which area is a nurse-managed health center (NMHC) designed to focus on? Select all that apply. One, some, or all responses may be correct.

Health promotion Disease prevention

Which aspect would the nurse address when using social and economic factors to develop improved health outcomes using the County Health Rankings Model? Select all that apply. One, some, or all responses may be correct.

Income Community safety

Which factor would the public health department internally review yearly?

New illnesses

Which characteristic indicates an internal locus of control? Select all that apply. One, some, or all responses may be correct.

Participates in routine health screenings Maintains exercise and positive health behaviors

Which action is an example of the cross-sectoral approach to reaching health equity?

Partnering with companies to implement exercise facilities for employees

Which service would be provided at an outpatient clinic offering wrap-around services? Select all that apply. One, some, or all responses may be correct.

Pharmacies Nursing care Social workers Primary health care providers

When educating members of the Jewish community, which action by the nurse would indicate a need for additional cultural competency education?

Planning educational sessions on religious holidays

Which intervention would apply to the community level of the social-ecological model (SEM) to assist vulnerable populations?

Preventing armed intruder school violence

Which action by the nurse would create a trusting environment when working with vulnerable populations?

Providing follow-up to important issues

Which nursing intervention is the priority when caring for immigrant populations?

Providing interpreters

Which characteristic would describe patients in at-risk populations who do not develop health problems?

Resilience

Having which disease would classify a patient as vulnerable?

Schizophrenia

Which nursing activity is an example of secondary prevention?

Screening children for lead exposure

Based on the health/wealth gradient concept, which action would provide assistance for the highest risk group in the population?

Setting up free immunization clinics for people at poverty level

Which aspect of human capital would the nurse consider when addressing patient vulnerabilities? Select all that apply. One, some, or all responses may be correct.

Skills Strengths Knowledge

Which intervention is an example of addressing modifiable health determinants in a population?

Smoking cessation programs

Which characteristic would apply to strategies implemented to promote population health in the community?

Stress prevention

Focus on which factor would reflect the interpersonal level of the social-ecological model (SEM)?

Support system

Which population would be considered marginalized?

The homeless

Which factor is a social determinant of health? Select all that apply. One, some, or all responses may be correct.

Transportation Level of education Socioeconomic status

Which information would the nurse obtain when assessing a patient's support system?

Whether assistance with daily living activities (ADLS) is required