Community Health Nursing Chapter 1
Which statement about community health nursing practice is correct? a.It focuses on the delivery of personal health services to individuals and families. b.It provides care to protect the health of the community as a whole. c.It emphasizes the setting where care is provided for clients and families. d.It requires a baccalaureate preparation for practice.
a. It focuses on the delivery of personal health services to individuals and families.
Public health nursing is a specialty because: a.It has a distinct focus and scope of practice. b.It must be done by a registered nurse with a master's degree. c.It is focused on disadvantaged citizens. d.It performs interventions at the acute care level.
a. It has a distinct focus and scope of practice.
Proposed changes to the health care delivery system in the United States will: a.Provide new opportunities for public health specialists. b.Result in isolated care being provided to individuals. c.Emphasize specialty care. d.Increase the utilization of acute care services.
a. Provide new opportunities for public health specialists.
The number and proportion of persons aged 25 or older with less than a high school education is an example of: a.Sociodemographic characteristics b.Health status c.Health risk factors d.Health care resource consumption
a. Sociodemographic characteristics
Which is an example of an aggregate or population? a.Students in a county school system b.Christians around the world c.A patient in the intensive care unit at the local hospital d.People who play cards together once a week at private homes
a. Students in a county school system
Implementing quality performance standards in public health is important because: a. They are used to guide improvement in the public health system. b. They rigidly control public health. c. Administrators will not monitor public health at the local level, but instead at the national level. d. They can be used as hiring guidelines for nurses.
a. They are used to guide improvement in the public health system.
Which of the following is an example of the mission of public health according to the Institute of Medicine? a.Tracking avian flu outbreaks and doing surveillance in the United States b.Providing a flu shot for an elderly person at the health department c.Keeping track of alternative therapies in use in the United States d.Keeping snake antivenom at the Centers for Disease Control and Prevention in Atlanta
a. Tracking avian flu outbreaks and doing surveillance in the United States
A key opportunity for public health nurses to improve population-focused care is by: a.Assuming traditional nursing roles b.Influencing public health policy c.Conducting community assessments d.Specializing in community-based nursing practice
b. Influencing public health policy
Making sure that essential community-oriented health services are available defines which of the core public health functions? a.Policy development b.Assessment c.Assurance d.Scientific knowledge-based care
c. Assurance
Providing for the availability of essential personal health services for people who would otherwise not receive health care defines which public health core function? a.Assessment b.Prevention c.Assurance d.Policy development
c. Assurance
A population is best defined as a: a.High-risk group b.School or institutional setting c.Collection of individuals who share at least one common characteristic d.Geographical location within a community
c. Collection of individuals who share at least one common characteristic
Which is an example of the primary goal of public health? a.Ensuring that a newly diagnosed 40-year-old hypertensive man takes his medication b.Finding home care for a 70-year-old client recuperating from a hip replacement c.Conducting an infant car seat safety check d.Contacting a local hospice to admit a terminally ill 60-year-old woman
c. Conducting an infant car seat safety check
The threat of bioterrorism has the potential to: a.Dissolve community-based programs. b.Cause the health care system to collapse. c.Divert funds from other public safety health care programs. d.Increase the need for shelters.
c. Divert funds from other public safety health care programs
The public health nurse analyzes data related to the number and type of United States Environmental Protection agency air quality standards that a community failed to meet. This data is an example of using which community health profile indicator? a.Sociodemographic characteristics b.Health status c.Health risk factor d.Functional status
c. Health risk factor
Which of the following statements about public health is accurate? a.Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches. b.Expenditures and resources for public health have increased in recent years. c.Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior. d.Reform of the medical insurance system is the single change needed to improve the health of Americans.
c. Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior.
The public health nurse must participate in the essential services of public health. These include: a.Monitoring health status by completing a community assessment b.Diagnosing and investigating health problems in the world c.Informing, educating, and empowering people about health issues d.Working in law enforcement to regulate health and ensure safety
c. Informing, educating, and empowering people about health issues
A public health staff nurse who has a clear understanding of population-focused practice: a.Is frustrated providing care to individuals b.Would rather perform population-focused interventions c.Is able to improve the effectiveness of care provided d.Is considered a public health nurse specialist
c. Is able to improve the effectiveness of care provided
Population-focused practice focuses on defining the problems or needs of and implementing solutions for: a.Individuals b.Aggregates c.Communities d.Geographical regions
b. Aggregates
Which of the following statements is true with regard to a population focus in public health nursing? a.Priority is given to the highest risk population. b.Direct caregiving is limited to preventive measures, such as administration of immunizations. c.Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care system. d.Only populations outside institutional settings are considered.
c. Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care system.
A public health nurse provides a clinic for HIV-positive citizens in the community. This is an example of: a.Primary prevention b.Secondary prevention c.Tertiary prevention d.Policy making
c. Tertiary prevention
The nurse who conducts vision screenings on children in the school setting is practicing _____ nursing practice. a.Community-oriented b.Public health c.Community health d.Community-based
d. Community-based
Public health nurses who develop and implement local public health policies through partnerships with agencies, organizations, and consumers within the community are using which core public health function? a.Assessment b.Prevention c.Assurance d.Policy development
d. Policy development
The nurse investigating environmental health problems caused by contaminated ground water is best described as practicing: a.Community-oriented nursing b.Community-based nursing c.Policy development d.Tertiary care
a. Community-oriented nursing
Which of the following are considered barriers to public health nursing? Select all that apply. a.The mindset that the only role for the nurse is at the bedside. b.The structures within which nurses work and the process of role socialization within those structures. c.Few nurses receive graduate-level preparation in the concepts and strategies of the disciplines basic to public health. d.The number of job opportunities in the area has been steadily declining.
a. The mindset that the only role for the nurse is at the bedside. b. The structures within which nurses work and the process of role socialization within those structures. c. Few nurses receive graduate-level preparation in the concepts and strategies of the disciplines basic to public health.
An example of a community health nursing practice is: a.Administrating a flu shot to a client in a physician's office b.Conducting a flu shot clinic at a community center c.Performing a client assessment in a hospital d.Providing supervision of staff in a rehabilitation center
a.Administrating a flu shot to a client in a physician's office
Public health practitioners prepared at the graduate level should be able to: a.Teach public and community health nursing b.Assess and intervene successfully at the aggregate level c.Diagnose and treat disease and have prescriptive authority d.Run for political office as experts in public health policy
b. Assess and intervene successfully at the aggregate level
The nurse who compares the rate of teenage pregnancy in various areas of the city is practicing the public health core function of: a.Assurance b.Assessment c.Prevention d.Policy development
b. Assessment
The necessary basic preparation for public health nursing is a(n) _____ in nursing. a.Associate's degree b.Baccalaureate degree c.Master's degree d.PhD
b. Baccalaureate degree
To better address emerging public health issues, a public health nurse enrolls in a course addressing which content area? a.Leadership b.Ethics c.Communication d.Finance
b. Ethics
The term community-based nursing care is applied when implementing which nursing intervention? a. Assessing the health needs of a defined community b. Providing care to families in a community c.Promoting the health of an entire community d.Investigating environmental health problems in a community
b. Providing care to families in a community
Population-based preventive programs launched in the 1970s are responsible for increased: a.Use of tobacco b.Use of automobile safety restraints c.Incidence of hypertension d.Incidence of obesity
b. Use of automobile safety restraints
The purpose of public health core functions is to: a. Clarify the role of the government in fulfilling the mission of public health. b. Ensure the safety of populations in receiving quality health care. c. Provide community-based individualized care to every person in the United States. d. Unite public and private providers of care in a comprehensive approach to providing health care.
a. Clarify the role of the government in fulfilling the mission of public health.
The public health workforce should demonstrate competency in which of the following competency categories? a.Financial planning and management b.Workforce needs assessment c.Acute care services d.Curriculum development
a. Financial planning and management
Collecting data and monitoring the health status of the population defines which of the core public health functions? a.Assessment b.Prevention c.Assurance d.Policy development
a. Assessment
The nurse manager who makes sure that the staff members who work in a local clinic are competent is demonstrating the public health core function of: a.Assurance b.Assessment c.Prevention d.Policy development
a. Assurance
One of the primary focuses of improving the health of the American people in the twenty-first century is to address: a.Bioterrorism and global health threats b.Delivery of individual care and hygiene c.The need for increased hospital and acute care d.Chronic disease and disability management
a. Bioterrorism and global health threats