ATI Community Historical Influences on Community and Public Health

The nurse is preparing a presentation about health care delivery in the U.S. for a group of newly licensed nurses. Which of the following statements should the nurse include in the presentation to describe the U.S. health care system? 1. "The U.S. spends more on health care than other developed countries." 2. "The U.S. has better health outcomes than other developed countries." 3. "The U.S. health care delivery system is population-focused." 4. "The U.S. nursing workforce is expected to increase over the next decade."

1. "The U.S. spends more on health care than other developed countries."

A nurse is providing a presentation about telehealth to a group of community health nurses who will soon be implementing telehealth practices within their community. Which of the following statements by one of the community health nurses indicates an understanding of the information? 1. "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients." 2. "Text messaging can be used as a method of telehealth." 3. Faxing prescriptions to the pharmacy is an example of telehealth." 4. Sending email messages through commonly used email servers is one way to use telehealth."

1. "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients."

A nurse is providing a presentation about individuals who made early contributions to public health nursing. Which of the following contributions should the nurse credit to Lillian Wald? 1. Establishment of the Henry Street Settlement 2. Establishment of the Stillman House 3. Establishment of the Frontier Nursing Service (FNS) 4. Establishment of the American Red Cross

1. Establishment of the Henry Street Settlement.

A public health nurse is reviewing the Leading Health Indicators (LHIs) developed for the Healthy People 2030 national health goals with a group of nurses. Which of the following LHIs should the nurse identify as pertaining to all age groups? (Select all that apply) 1. Homicides 2. Obesity 3. Colorectal Cancer Screening 4. Drug Overdoses 5. Influenza Immunizations

1. Homicides 4. Drug Overdoses 5. Influenza Immunizations

A nursing program director is discussing the integration of the Quality and Safety Education for Nurses (QSEN) competencies into the curriculum with faculty. Which of the following competencies should the director include in the discussion as the competency that most student are the least prepared to address? 1. Quality Improvement 2. Patient-Centered Care 3. Informatics 4. Teamwork and Collaboration

1. Quality Improvement The director should include in the discussion that quality improvement is the QSEN competency that most students report as being the least prepared to address.

A nurse is discussing the timing of public health acts with a group of nursing students. The nurse should inform the students that, if placed in chronological order from oldest to newest, the following acts would be listed in what order? The Sheppard-Towner Act The Civil Rights Act The Medicare and Medicaid Act The Social Security Act The Health Insurance Portability and Accountability Act

1. The Sheppard-Towner Act (1921) 2. The Social Security Act (1935) 3. The Civil Rights Act (1964) 4. The Medicare and Medicaid Act (1965) 5. The Health Insurance Portability and Accountability Act (1996)

A public health nurse is discussing climate change with a group of nurses who are interested in learning about global health concerns. Which of the following should the nurse include in the discussion as an issue associated with climate change? 1. Decrease in the mosquito population 2. Exacerbations in respiratory conditions 3. Reduced risk of exposure for clients who live in poverty 4. Improved access to clean water

2. Exacerbations in respiratory conditions Extreme weather and temperatures create significant health risks to all by exacerbating heart and respiratory conditions.

A nurse in a community health clinic is discussing the impact of current health care costs and quality with the staff. Which of the following trends should the nurse identify as the trend that will likely lower health care costs? 1. Aging of the population 2. Increased use of telehealth 3. Medicalization 4. Decreases in the workforce

2. Increased use of telehealth

A community health nurse is discussing the Nurse Training Act of 1943 with a group of nursing students. The community health nurse should include in the discussion that which of the following occurred as a direct result of the passage of this legislation? 1. Funding for maternal child care programs 2. Prohibition of racial discrimination in nursing organizations 3. Formation of training programs for school nurses 4. Establishment of the National Center for Nursing Research

2. Prohibition of racial discrimination in nursing organizations. The U.S. Cadet Nurse Corps prohibited discrimination in nursing organizations and was a direct result of the Nurse Training Act of 1943. Therefore, the nurse should include this in the discussion.

A public health nurse is discussing strategies to increase the number of nurses who are interested in working in public health with another nurse. Which of the following strategies should the nurse include in the discussion as an approach to increase the supply of public health nurses? 1. Adding telehealth-related content to the nursing curricula. 2. Restructuring pay and rewards for nurses who practice outside of acute care settings 3. Increasing nursing representation on community planning boards 4. Providing incentives for nurses nearing retirement age to continue working.

2. Restructuring pay and rewards for nurses who practice outside of acute care settings

A nurse is preparing to provide a presentation about population-focused care to a group of community health nurses. Which of the following should the nurse plan to include in the presentation as a required competency for nurses who are providing population-focused care? 1. The ability to develop individualized care plans 2. The ability to analyze large data sets 3. The ability to work independently 4. The ability to gather data about a client's personal support system

2. The ability to analyze large data sets. Population-focused care requires nurses to access and analyze large data sets in order to understand the health of specific populations.

A nurse is providing education to a client who recently became eligible to receive Medicare benefits. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? 1. "Medicare Part A will cover all of my prescription medications." 2. "I can add dependents to my Medicare plan if needed." 3. "Medicare will pay for me to be in a long-term facility if needed." 4. "I will have to pay for Medicare coverage if I choose to enroll."

3. "I will have to pay for Medicare coverage if I choose to enroll." Medicare is federally funded however, it is not free and clients who choose to enroll pay a monthly premium.

A nurse in a community health clinic is providing training to a group of newly hired nurses about partner violence. Which of the following statements made by one of the nurses indicates an understanding of partner violence? 1. "Women and men experience partner violence equally." 2. "Partner violence is the leading cause of death for women." 3. "Partner violence is underreported." 4. "Only physical abuse is considered partner violence."

3. "Partner violence is underreported." This is an accurate statement and should be identified as an understanding of partner violence.

A nurse is discussing government organizations with a newly licensed nurse who is interested in working with clients who have been impacted by natural disasters. Which of the following organizations should the nurse include in the discussion as the organization that provides domestic and international disaster relief? 1. U.S. Public Health Services (USPHS) Commissioned Corps 2. Centers for Disease Control and Prevention (CDC) 3. American Red Cross 4. Health Resources and Services Administration (HRSA)

3. American Red Cross The American Red Cross is a nonprofit organization dedicated to providing domestic and international disaster relief. Therefore, the nurse should include the American Red Cross in the discussion.

A newly licensed nurse is interested in finding information about health care benefits for clients who are disabled or have end-stage renal disease. The newly licensed nurse asks their preceptor where they can find this information. Which of the following organization websites should the preceptor encourage the newly licensed nurse to use to find the desired information? 1. National Institutes of Health (NIH) 2. Centers for Disease Control and Prevention (CDC) 3. Centers for Medicare and Medicaid Services (CMS) 4. United States Public Health Service (USPHS) Commissioned Corps

3. Centers for Medicare and Medicaid Services (CMS) CMS is the organization that oversees Medicare, a federal government-funded health care plan that provides health care benefits to clients age 65 years and older, younger clients who have disabilities, and clients with end-stage renal disease.

A nurse is working in a campus health center and is developing a smoking cessation program for the student body. Which of the following federal agencies should the nurse include in the program as the agency that regulates tobacco products? 1. Substance Abuse and Mental Health Services Administration (SAMHSA) 2. Agency for Toxic Substances and Disease Registry (ATSDR) 3. Food and Drug Administration (FDA) 4. Occupational Safety and Health Administration (OSHA)

3. Food and Drug Administration (FDA). The nurse should include in the program that the FDA is the federal agency that regulates tobacco products

A nurse is discussing the impact that current community and public health trends have on health care delivery with a group of nursing students. Which of the following trends should the nurse identify as likely to decrease health care expenditures? 1. The medicalization of treatment for lifestyle-related conditions. 2. The decreasing of the nursing work force 3. The implementation of population health strategies 4. The increasing age of the American population

3. The implementation of population health strategies.

A nurse is planning to provide a presentation to a group of community members on how early discoveries in science have influenced the practice of community health. Which of the following individuals should the nurse include in the presentation as being credited with discovering penicillin? 1. Dr John Snow 2. Dr. Edward Jenner 3. Lemuel Shattuck 4. Alexander Fleming

4. Alexander Fleming He discovered Penicillin in 1928 1. Dr John Snow one of the founders of epidemiology because of his work with Cholera epidemic in London 2. Dr Edward Jenner credited with the discovery of the smallpox vaccine 3. Lemuel Shattuck discovered the connection between illness and sanitation.

A nurse is working with a community planning board to address the challenge of systemic racism in their community. Which of the following criteria should the nurse identify as essential to the success of a community plan addressing systemic racism? 1. Focusing on the outcomes of racial inequities 2. Placing those with poser and resources in charge of the plan 3. Creating a day of remembrance to raise awareness of racial inequities 4. Budgeting financial resources fairly based on need

4. Budgeting financial resources fairly based on need. Essential to the success of a plan to address systemic racism is budgeting financial resources fairly based on need. Therefore, the nurse should include this as criteria essential for addressing racial inequities.

A nurse educator is teaching a class on nursing history to a group of nursing students. Which of the following nurses should be identified as the first nurse who focused on environmental conditions? 1. Clara Barton 2. Mary Breckinridge 3. Jessie Sleet Scales 4. Florence Nightingale

4. Florence Nightingale The nurse should identify Florence Nightingale as the first nurse who focused on environmental conditions, which improved outcomes of care on battlefields and in hospitals during the 1800s