Module questions weeks 1 & 2
When assessing a client's learning needs, the community health nurse should first say:
·How confident are you filling out forms by yourself?
What characteristics will the nurse consider when developing interventions for an aggregate group?
People may not interact with each other
The nurse is considering the psychosocial factors that could affect a client's readiness to learn. Which factors fit this category?
support persons, occupation, family
According to health people 2020, social determinants of health should include which of the following?
Air quality, exposure to crime and violence, quality of schools, access to affordable transportation
What is the final step in the nurse's health assessment of a community?
Analysis
Considering health literacy, what intervention will the nurse implement when providing a patient education on a newly prescribed medication?
Asking the patient to summarize the information that was provided
Health inequities often emerge among racial and ethnic groups. Which of the following races/ethnicities experience a high prevalence of low birth weight babies?
Blacks
The public health nurse is performing a community assessment. What community-specific factors will the nurse consider when performing this assessment?
Boundaries, purpose of the community, physical characteristics, internal influences such as the local economy
What technique of group facilitation can the nurse use to encourage creative ideas within a group?
Brainstorming
What are strategies from the public health intervention wheel?
Case management, health teaching, advocacy, screening
What strategies should a nurse employ when providing health teaching to a client?
Check for understanding by frequently asking questions, organize the content into units or components of like or related content
Which population is most likely to experience low health literacy?
Chinese immigrants, adult Spanish-speaking females who are not fluent in English, teenage girls who do not graduate from high school
What intervention addresses the building of alliances among groups of people in the community, aligned toward a common purpose of well-being?
Coalition building
How is community diagnosis different from individual diagnosis?
Community diagnosis creates a tentative hypothesis, individual diagnosis creates goals for individual care
What statement is true about community stakeholders?
Community stakeholders should represent all groups in the community
What is the role of the community health nurse?
Community-based health education, providing health promotion interventions
What are the levels of focused practice as noted on the public health intervention wheel?
Community-focused practice, individual-focused practice, systems-focused practice
Which of the following are nursing actions that correlate with the assessment phase of the nursing process in community health settings?
Conduct a windshield survey, mail community surveys to residents, carry out focus group interviews
Which intervention will provide the nurse with the best understanding of a family's health risks?
Conducting a family-focused health literacy assessment
If a group member helps the group frame diverse ideas and opinions into proposals or decisions that reflect the wishes of the group, then what role is this member playing?
Consensus builder
Pubic and community health interventions focus on:
Decreasing inequities that affect population health
This intervention on the public health wheel relates to specific and direct care actions provided by community health nurses, under the direction of a health care practitioner, as allowed by law. This includes any tasks a nurse delegates to appropriate personnel.
Delegated functions
What areas is health promotion focused on?
Developing nursing interventions directed towards people's resources to maintain well-being, maintaining or improving health of families and communities
In regards to groups, which role is the group member who helps maintain harmony by conciliating different points of view and suggesting solutions?
Mediator
Which of these techniques should the nurse use for introverted or shy personalities within a group?
Nominal group technique
Which is true of Tuckman and Jenson's five stages of group formation?
Not all groups reach the "performing" phase
If a group member facilitates honest and open sharing of diverse opinions and information, then what role is this member playing?
Opinion-giver
The community assessment process directly contributes data for development of community interventions that correlate best with which of the following interventions notes on the public health interventions wheel?
Outreach
What are the responsibilities of a community health nurse to the families being served?
Advocate for family wellness, promote the health literacy of family members, addresses issues affecting family health, strive to eliminate disparities in the delivery of health care to families
What is the primary goal of health promotion?
Affecting positive change to the health and well-being of individuals and communities
According to the national assessment of adult health literacy. What percentage of adults in the United States have proficient health literacy skills?
12%
What percentage of the United State population does not even have a basic level of health literacy?
14%
What is the recommended reading level of medical literature?
4th-6th grade
What historical public health achievements have public health nurses contributed to?
A decrease in the spread of infectious diseases; an increase in healthier mothers and babies; improvements in family planning and education
Which variables are characteristics of an aggregate?
A group of distinct individuals; are considered as a whole; are loosely associated with each other
What is the best description of an aggregate?
A group of individuals who are loosely connected with one another
The public health nurse is preparing a care plan for a client in the community. What factors in the community environment should the nurse consider that can impact a client's potential for health and wellness?
Access to fresh foods and groceries; size of health care facilities; air quality and number of pollutants; level of safety to walk or play outside
A comprehensive assessment must consider the entire community and the various populations living in the community. Which of these indicates a comprehensive assessment?
Adults and children living within ten miles of the center of town
Which points are relevant to leading an effective coalition meeting focused on community needs?
Distribute background materials in advance of the meeting, show respect for the expertise of the individual members, maintain focus on the purpose of the meeting, begin and end the meeting on time
Strengths-based nursing is focused on which of the following principles?
Empowerment, self-efficacy and hope
What characteristics define a community?
Encompasses a sense of member belonging; a group that shares a common interest; interaction among a group of people
If a group member puts in effort to create a warm climate of acceptance within the group, where all contributions are welcomed, then what role is this member playing?
Encourager
The similarities between the nursing process and the epidemiological process include:
Entire ADPIE model
A community nurse is reviewing the disease statistics of an assigned new area. What assessment framework is the nurse utilizing in assessing this community?
Epidemiological
Which are components that provide direction for solving problems, managing nursing actions, and improving the health communities?
Evaluation, diagnosis, implementation, assessment, planning
Which statement is true about health literacy?
Experts recommend that all clients be treated as if they have low health literacy
Which statement is true about the community health nurse?
Facilitates members of the community to take control of their health
What role does the "opinion-giver" perform within a health education group?
Facilitates the honest and open sharing of diverse views and information
Community organizing is an intervention that seeks to generate solutions to problems through interactive problem solving.
False -consultation would make this answer true -community organizing helps community groups to identify common problems or goals
The terms community, aggregate and population are interchangeable
False a community is a form of aggregate but an aggregate lacks interaction with one another. An aggregate is a group of people with common characteristics
During an assessment, the community health nurse is gathering data to determine what characteristics and possible health needs are similar for all community members. Which framework will the nurse choose in approaching this assessment analysis?
Familiarization
Which of the following factors contribute to health disparities?
Food deserts, discrimination, poverty
Which model asks direct and probing questions to assess family health in 11 different areas?
Functional health patterns (FHPs) (Gordon)
if a group member makes sure that everyone who wants to make a contribution to the group has an opportunity to do so, then what role is this member playing?
Gatekeeper
Which of the following are common data sources for a community assessment?
Governmental data sets, state health department statistics, town hall meetings, school nurse interviews
Which of these are signs an individual may have health literacy challenges?
Has difficulty completing health forms, is more passive in the clinical encounter and rarely asks questions, misunderstands prescription medication instructions
Sofia works as a nurse in a community health clinic. She notices that some cases of varicella have broken out in the local community schools. She puts together an awareness campaign in preschools to educate parents about the importance of childhood immunizations. Which term best describes what Sofia is doing?
Health education
Providing information on services provided at a local free clinic is an example of supporting which patient need?
Health literacy
Derek works as a nurse in an assisted living center for older adults. He schedules a restorative yoga class for the residents that meets weekly and focuses on fitness, flexibility and general well-being. Which term best describes what Derek is doing for his patients?
Health promotion
What was the name for the agency founded in the lower east side of New York in 1893?
Henry Street Settlement
What action does the nurse perform during the analysis stage of a community health assessment?
Identify casual factors for health indicators
What should the nurse consider when selecting health indicators in a community?
If the indicators relate to standards published by national or state entities
When did district nursing first occur in the United States?
In the late 1800s
A nurse is teaching a client who has a low health literacy about COPD while giving COPD medications. Which technique is most appropriate for the nurse to use?
Include the most important information on COPD at the beginning of the session
A social history is a vital assessment tool related to which nursing models?
Life span development (Rankin)
Which nurse in history first used the term public health nursing and is considered to be the founder of public health nursing?
Lilian Wald
A public health nurse has been assigned to develop and coordinate a community of solution group on the issue of childhood obesity. Who should the nurse contact first?
Local school nurses in the community and the surrounding areas
A community health nurse is assessing the ability to learn of a client who has recently experienced a stroke. Which question or statement would best assess the client's ability to learn?
Please read this handout and tell me what it means
The school nurse is on a task force that is working to increase consumption of fruits and vegetables by students. For students unaffected by childhood obesity, this strategy would be considered what level of prevention?
Primary prevention
Which of the following best describes the primary purpose of a windshield survey?
Provide familiarity and context to the nurse who is new to a community and its members
Which skill is fundamental to a nurse's ability to enhance a patient's health literacy?
Providing information in a manner that the patient can easily understand
Which is a past screening tool used by practitioners to assess health literacy?
Rapid estimate of adult literacy in medicine (REALM), test of functional health literacy (TOFHLA)
What is the data collected through public health surveillance by the CDC ultimately used for?
Reduction of morbidity and mortality among the population
What is the role of the nurse when using the adult learning model to bring about a change in a patient's health behaviors?
Reinforcement of the goal as the change is being made
The nurse is planning to conduct a needs assessment. What methods might the nurse employ to make an assessment?
Reviewing published literature, organizing a task force, conducting a survey
What is included in health literacy?
Scientific literacy, reading skills, cultural literacy
The nurse is unsure which members of a local community have been affected by exposure to chemical poisoning. What strategy from the public health interventions wheel should the nurse employ?
Screening
Which are of questioning is explored when assessing family health routines?
Self-care, mental health behaviors, illness care, safety and precaution
The nurse is considering the qualities of effective adult learners. What qualities are most common among this group?
Self-directed, goal-oriented, practical
Which section of the public health nursing intervention wheel focuses on significant health threats such as contagious diseases but is also used with other events such as chronic diseases, injury and violence?
Surveillance
The nurse wants to conduct an assessment that will protect the anonymity of the participants. What is the best tool to use?
Survey
When working with a patient who is attempting to change a health-related behavior, what will the nurse reinforce?
The need for the actual change in behavior, the patient's ability to make the change, the health-related benefits of changing the behavior, problem-solving techniques needed to achieve the change
Which is true about health education in groups?
The nurse is not the only expert in the group
The nursing process in community health focuses on:
The population
What is the importance of having "opinion leaders" represented on a community committee focused on making changes to existing health service delivery systems?
Their points of view are generally well-accepted by the individual community members
A new nurse wants to maximize the opportunities for employment following graduation. Which rationale best supports the nurse in examining employment opportunities in public health nursing?
There has been a shift in providing care to clients in the community
What is true of clients with low health literacy?
They are more likely to be hospitalized
What is the purpose of an epidemiological predictions and probabilities in relationship to health promotion?
They determine the focus of health promotion strategies
Health teaching is used in conjunction with virtually all interventions. It is frequently implemented in conjunction with, or sequentially to, counseling and/or consultation.
True
Which tasks are examples of the level of health literacy expected of most clients?
Understanding information on prescription bottles, verbalizing doctor directions, navigating complex health care systems
Why is volunteering as a nurse in an at-risk community an important activity?
Volunteering as a nurse brings low-cost medical and nursing expertise to the at-risk community
The nurse is providing care to a client who is two days' post-surgery on the right foot, however the health care provider has written orders for discharge to home tomorrow morning. The client is concerned about who will provide wound care to the foot in the home. What is the nurse's best response to this concern?
We will determine the resources and services you will need at home and arrange those before you leave
When considering health literacy associated with health risks, what is the public health nurse's primary concern?
Whether the individual or the community choices to implement or ignore the need for change
What question should be asked of help identify a community committee's stakeholders?
Who can best successfully affect public opinion regarding proposed changes; who has the greatest amount to lose by the proposed change; who is most affected by the issue being considered; who can assist in providing resources need for proposed changes
What is an example of an intrinsic motivational factor?
a personal feeling of accomplishment
The desired outcome of health education is that the learner:
demonstrates permanent behavioral changes
Health promotion and disease prevention are both focused on which level of intervention?
primary prevention
In a community health setting, which of these does the nursing process include?
problem solving; situational analysis, decision making, planning and outcome evaluation; implementation of changes
The community nurse is performing an assessment on a community related to an identified problem of obesity. Which approach is best to use for this type of community assessment?
problem-oriented
The nurse is considering a client's readiness to learn. Which are considered cognitive factors?
reading ability and motivation
