ATI Historical Influences on Community and Public Health Nursing Assessment

List the following acts in order from oldest to newest - The Civil Rights Act - The Social Security Act - The Sheppard Towner Act - The Health Insurance Portability and Accountability Act - The Medicare and Medicaid Act

- The Sheppard Towner Act - The Social Security Act - The Civil Rights Act - The Medicare and Medicaid Act - The Health Insurance Portability and Accountability Act

A nurse is reviewing a clients medical record with a dietitian who is part of the clients interdisciplinary team. Which of the following elements of Nursings Social Contract is the nurse demonstrating? A. Collab B. Responsibility and accountability C. Progress and dev D. Ethical practice

A. Collab

A nurse is reinforcing teaching to a community nurse about the scope of nursing practice in the community. Which of the following statements by the nurse indicates an understanding of the "what" part of the American Nursing Association's description of the scope of practice? A. "I will focus on being committed as I provide care to protect the health and wellbeing of my clients" B. "I understand that scope of practice refers to staff such as LPNs, RNs, and APNs" C. "It is important that I remember that nursing care is to be provided wherever it is needed"

A. "I will focus on being committed as I provide care to protect the health and wellbeing of my clients"

A nurse is requesting a referral for a case manager for a client who requires financial assistance for their meds. Which of the following forms of advocacy is the nurse demonstrating? A. Client advocacy B. Professional advocacy C. Political advocacy D. Community advocacy

A. Client advocacy

A nurse is teaching a client who has asthma on the use of an inhaler. Which of the following resources should the nurse include in the teaching? A. Give a demonstration of how to use the inhaler followed by a teach-back approach B. Provide only a video teaching about asthma C. Offer the phone number of the manufacturer of the inhaler D. Provide the client with a brochure to learn more about asthma

A. Give a demonstration of how to use the inhaler followed by a teach-back approach

Which of the following actions should the community health nurse take to promote economic stability in the community? A. Partner with local churched and write grants for childcare funding towards affordable day cares in the area B. Advocate for more transportation to the health care facilities C. Work with a nonprofit organization for the local farmers market to sell fresh produce 2x/wk D. Teach residents about the dangers of lead-based paint

A. Partner with local churched and write grants for childcare funding towards affordable day cares in the area - parents who are working need affordable day care for their children

Which of the following are part of the Stages of Change? (SATA) A. Precontemplation B. Maintenance C. Interpersonal relationships D. Action E. Planning

A. Precontemplation B. Maintenance D. Action E. Planning

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 students are the least prepared to address? A. Quality improvement B. Patient-centered care C. Informatics D. Evidence-based practice

A. Quality improvement

A nurse is providing a presentation about telehealth to a group of community health nurses who will soon be implementing telehealth practices w/in their community. Which of the following statements by one of the community health nurses represents understanding of the info? A. We can use video conference as a method of telehealth to hold remote meetings with staff and clients B. Text messages can be used as a method of telehealth C. Faxing prescriptions to the pharmacy is an example of telehealth D. Sending email messages thru commonly used email servers is one way to use telehealth

A. We can use video conference as a method of telehealth to hold remote meetings with staff and clients

A 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? A. the U.S. spends more on health care than other developed countries B. the U.S. has better health outcomes than other developed countries C. The U.S. health care delivery system is population-focused

A. the U.S. spends more on health care than other developed countries

A client asks a nurse to help ID resources for a weight loss program the client is developing. Which of the following theoretical frameworks might the nurse use in this situation? A. Health belief model B. Transtheoretical model C. Social cognitive theory

B. Transtheoretical model - This model is good for formulating individualized plans for change towards healthier behaviors.

A nurse is caring for a client who doesn't have proper understanding a surgical procedure that is scheduled the next day. The nurse notifies the clients provider. Which of the following concepts is the nurse demonstrating? A. Client Edu B. Client advocacy C. Accountability D. Autonomy

B. client advocacy

A community health nurse reports that some fams are in desperate need of basic preventative healthcare services. Which of the following principles supports providing resources to fams in the community that are in need? A. Justice B. Beneficence C. Autonomy D. Nonmaleficence

B. Beneficence - doing what is in the clients best interest and doing them no harm

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? A. Decreases the mosquito pop B. Exacerbations in resp conditions C. Reduced risk of exposure for clients who live in poverty

B. Exacerbations in resp conditions - Extreme weather and temps create signif health risks to all by exacerbating heart and resp conditions. Therefore, the nurse should include this as an issue associated with climate change.

A nurse in a community health clinic is discussing the impact of current trends in health care costs and quality with the staff. Which of the following trends should the nurse ID as the trend that will likely lower health care costs? A. Aging of the pop B. Increased use of telehealth C. Medicalization D. Immunizations

B. Increased use of telehealth

A public health nurse is providing an explanation to newly hired public health nurses on the standard of care alone with the policies and procedures that reflect the Nurse Practice Acts (NPAs). Which of the following is imperative that the new nurses know about NPAs? A. NPAs specify the scope and standards of practice for student nurses B. NPAs are the laws governing nursing practice C. NPAs specify the code of ethics to be used in hospital settings D. NPAs are governed by the federal gov, not state law

B. NPAs are the laws governing nursing practice - they outline standards of care and provide guidance to nurses in safe and effective practice

A nurse is speaking with the nursing supervisor about staffing shortage and it implications for staff on their unit. Which of the following forms of advocacy is the nurse demonstrating? A. Political and legislative advocacy B. Professional advocacy C. Community advocacy D. Client advocacy

B. Professional advocacy

A community health nurse is discussing the Nursing 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? A. Funding for maternal childcare programs B. Prohibition of racial discrimination in nursing organizations C. Formation of training programs for school nurses D. Establishment of National Center for Nursing Research

B. Prohibition of racial discrimination in nursing organizations - U.S. Cadet Nurse Corps prohibited discrimination in nursing organizations and was the direct result of the Nursing Training Act of 1943

Which of the following Sustainable Development Goals would be achieved if nations implemented recycling programs in their major cities ? A. Reduction of inequalities B. Responsible consumption and production C. Affordable and clean energy D. More compliance to healthy environment

B. Responsible consumption and production - Implementing recycling programs in major cities is an example of responsible consumption and production. Recycling programs reduce waste in the environment and provide a chance to reuse those materials in other products, decreasing the usage of natural resources.

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? A. Adding Telehealth-related content to the nursing curricula B. Restructuring pay and rewards for the nurses who practice outside of acute care settings C. Increasing nursing representation on community planning boards D. Providing incentives for nurses nearing retirement age to continue working

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

A nurse is preparing to provide a presentation about pop-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 pop-focused care? A. The ability to dev individualized care plans B. The ability to analyze large data sets C. The ability to work independently D. The ability to gather data about a clients personal support system

B. The ability to analyze large data sets

A nurse is preparing an orientation for a newly licensed community health nurse on the standards of professional practice. Which of the following is critical thinking model that describes a competent level fo nursing care? A. Elements and standards model B. The nursing process C. The Minnesota model for public health nursing practice D. Prof nursing model

B. The nursing process

A nurse is discussing gov 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 relief? A. U.S. Public Health Services Commissioned Corps B. CDC C. American Red Cross D. Health Resources and Services Administration

C. American Red Cross

A nurse is caring for a client who is dying and wishes to d/c taking their meds. Which of the following ethical principles is the nurse demonstrating by respecting the clients decision? A. Nonmaleficence B. Beneficence C. Autonomy D. Justice

C. Autonomy - the ability to be able to make informed decisions independently

A community health nurse is reinforcing edu on insulin admin to a client who has DM. Which of the following elements of Nursings Social Contract is the nurse demonstrating? A. Collab B. Ethical practice C. Autonomy of practice D. Promotion of the health of the public

C. Autonomy of practice

A newly licensed nurse is interested in finding info 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 info. Which of the following organization websites should the preceptor encourage the newly licensed nurse to use to find the desired outcome? A. National Institute of Health (NIH) B. CDC C. Centers for Medicare and Medicaid services (CMS) D. United States Public Health Service (USPHS) Commissioned Corps

C. 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+, younger w/ disabilities, or any age with end-stage renal disease

Which of the following terms describes a nurse who delivers care to the residents of a community in a local area focusing on disease and illness prevention? A. Public health nurse B. Population health nurse C. Community health nurse D. Home health nurse

C. Community health nurse - The focus of a community health nurse is on the community as a whole .

A nurse working in the fam planning clinic is working with an adolescent client who has expressed interest in birth control options. Which of the following is an example of how the nurse can practice with compassion and value the inherent dignity, worth, unique attributes of the client? A. Take responsibility for recommending that the client use hormonal contraception B. Advocate for the right of the minor's parents to authorize birth control meds C. Est. a rapport by respecting the clients interests and providing edu on all birth control options D. Promote the use of contraception among the clients peers at a community event

C. Est. a rapport by respecting the clients interests and providing edu on all birth control options

A nurse working in a campus health center 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? A. Substance Abuse and Mental Health services Administration B. Agency for Toxic Substances and Disease Registry C. Food and Drug Administration D. Occupational Safety and Health Administration

C. Food and Drug Administration

Due to a ride in whooping cough cases among middle school aged students, the School board requires an additional dose of Tdap vaccine to attend the 7th grade. Which of the following community outreach actions should the school nurse use to promote this updated policy? A. recruit teachers to help spread the word about the immunization requirement B. Est. one-on-one counseling sessions for each the students' families about immunizations C. Organize virtual edu sessions on immunizations within the school district D. Inform the students who will enter the 7th grade of the required additional vaccine

C. Organize virtual edu sessions on immunizations within the school district

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? A. Women and men experience partner violence equally B. Partner violence is the leading COD for women C. Partner violence is underreported D. Only physical abuse is considered partner violence

C. Partner violence is underreported

A nurse working at community health clinic is reviewing the staff schedule and notices the clinic has been working short staffed for the past 3 months. Which of the following actions should the nurse take to address this issue? A. Cancel and reschedule client appt. to times when staff are avail B. Speak to clients and get feedback about the schedule challenges C. Speak to the manager and advocate for a strategy that ensures adequate staffing D. Close clinic early d/t staffing concerns

C. Speak to the manager and advocate for a strategy that ensures adequate staffing

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 ID as likely to increase health care expenditure? A. The medicalization of treatment for lifestyle-related conditions B. The decreasing of the nursing workforce C. The implementation of population health strategies D. The increasing age of the American people

C. The implementation of population health strategies - This trend should lead to decreases in healthcare spending

A public health nurse has been assigned to calll a client who speaks a different language than the nurse. Which of the following actions by the nurse demonstrates cultural competency? A. Ask the clients fam member to help with interpretation B. Ask the office receptionist who can speak multiple languages to help with interpretation C. Use the organizations interpretation or translate service for this call D. Speak slowly and use simple terms

C. Use the organizations interpretation or translate service for this call

A nurse working at a community health center is caring for a client that reports disappointment and feeling ashamed of their weight. Which of the following responses should the nurse give? A. How about if you start tracking your caloric intake? B. Many people struggle with weight loss C. What has been bothering you the most about your weight? D. Meds may be able to help you lose a lot of weight if you'd like to try that

C. What has been bothering you the most about your weight?

A nurse working in a community health clinic is caring for a client who reports they have not slept for several days. Which of the following responses should the nurse give? A. "have you tried melatonin?" B. "I have issues falling asleep every night as well" C. "You need to stop drinking coffee" D. "What has made it difficult for you to sleep lately?"

D. "What has made it difficult for you to sleep lately?" - Response should demonstrate acknowledgment of the clients concerns and should be open-ended. Other options are dismissive.

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? A. Dr. John Snow B. Dr. Edward Jenner C. Lemeul Shattuck D. Alexander Fleming

D. Alexander Fleming - discovered penicillin in 1928

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 ID as essential to the success of a community plan addressing systemic racism? A. Focusing on the outcomes of racial inequities B. Placing those with power and resources in charge of the plan C. Creating a day of remembrance to raise awareness of racial inequities D. Budgeting financial resources fairly based on need

D. Budgeting financial resources fairly based on need

A nurse educator is teaching class on nursing history to a group of students. Which of the following nurses should be ID as the 1st nurse who focused on environmental conditions? A. Clara Barton B. Mary Breckinridge C. Jessie Sleet Scales D. Florence Nightingale

D. Florence Nightingale

A nurse is preparing to discharge a client with a newborn who has a trach and will require apnea monitoring at home. Which of the following resources should the nurse recommend to the client to assist with trach care and apnea monitoring? A. Community center clinic B. Ambulatory care center C. Occupational health center D. Home health care

D. Home health care

A nurse is providing edu to a client who recently became eligible to receive medicare benefits. The nurse should ID that which of the following statements by the client indicates understanding of the teaching? A. Medicare part A will cover all of my prescription meds B. I can add dependents to my medicare plan if needed C. medicare will pay for me to be in long-term care if needed D. I will have to pay for medicare coverage if I chose to enroll

D. I will have to pay for medicare coverage if I chose to enroll - Medicare is a federally funded program, but it is not free and those enrolled must pay a monthly price

A community health nurse is caring for a client who informs the nurse that they need a kidney transplant but their insurance has been d/c. Which ethical principle should the nurse be aware of to provide resources for this client? A. Veracity B. Autonomy C. Accountability D. Justice

D. Justice - fairness - veracity - being truthful - Autonomy - supporting clients right to make own decisions - accountability - responsibility for one's actions

A public health nurse working in the community center asks the nurse manager where nurses can obtain info on the competencies the public health nurse should possess. Which document should the nurse manager recommend? A. The Minnesota Model for Public Health Nursing Practices B. The Nurse Practice Act (NPA) C. American Nurses Association (ANA): Code of Ethics D. Public health nursing competencies

D. Public health nursing competencies

A public health nurse is observing a client who has been participating in the directly observed therapy (DOT) program for the past month take their antitubercular medication for active TB. Which of the following actions should the nurse take first? A. Doc the care provided to the client B. Assess for any allergies before allowing client to take meds C. Reinforce edu concerning meds side effects D. Review the labs before having the client take the meds

D. Review the labs before having the client take the meds - all tasks need to be completed, but reviewing labs takes priority

A public health nurse is providing an explanation to to newly hired public health nurses on the concept of community health nursing as a population based service. Which of the following interventions should the nurse include in the explanation? A. Physical assessment prior to hospital admission B. Intake interviews for long-term care placement C. Dev policies for health benefits at a local factory D. Screening and surveillance of communicable diseases

D. Screening and surveillance of communicable diseases

A community health nurse is reinforcing teaching to new nurses on a scenario in which a nurse has forgotten to refer a client to a social worker, causing delay in med coverage for the client. Which of the following actions by the nurse demonstrates the element of responsibility and accountability under nursing's social contract? A. The nurse requests to speak to their supervisor to discuss workload. B. Th nurse explains the reason why the delay occurred C. The nurse makes excuses for the delay D. The nurse accepts fault in the delay of the clients med coverage

D. The nurse accepts fault in the delay of the clients med coverage

A community health nurse is working in a clinic that treats many clients who do not have homes and have mental health needs, but follow-up care is inadequate. How can the nurse implement Provision 9 of the ANAs Code of Ethics? A. Take responsibility for improving the safety of mental health care at the community clinic B. Allow mental health caregivers to address the issue to avoid crossing professional boundaries C. Improve commitment to providing the best mental health care possible thru continuing edu D. Write a letter to the head of the clinic to report the need for mental health follow-up care

D. Write a letter to the head of the clinic to report the need for mental health follow-up care