NSG 3222: interactive modules exam 1
the nurse is preparing information an alzheimer's disease for a community health fair. which website would the nurse use to evaluate the reliability and efficacy of a screening tool for alzheimer's disease?
U.S. Preventive Services Task Force
the nurse is using PICO to develop a good clinical question. which parts of PICO are paired correctly? a. I- intervention b. C- community c. P- participant d. O- option
a
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
what statement about false negatives is accurate?
a false negative is when a patient passes a screening, but in fact, truly has the disease
the community nurse is performing an assessment on a community r/t an identified problem of obesity. which approach is best to use for this type of community assessment?
problem-oriented
a PHN is working in the local public health department performing kindergarten screenings and administering immunizations required for school admission. the mother of a client reports reservations about giving her child a vaccination. what is the nurse's best action?
provide the mother with info to review on the proposed immunizations for the child
the PHN is performing a community assessment. what community-specific factors will the nurse consider when performing it?
purpose of the community, physical characteristic,s internal influences such as the local economy, boundaries
after reading a research article about fall risk, the nurse would expect to see what finding in those who have developed a fear of falling?
reduced attendance at church
a school health nurse is checking the students in the 7th grade for scoliosis. what type of assessment is scoliosis testing?
screening
the nurse is unsure which members of a local community have been affected by exposer to chemical poisoning. what strategy from the public health interventions wheel should the nurse employ?
screening
which strategies from the public health intervention wheel would be ideal for the nurse to use in the secondary prevention of disease or injury?
screening, surveillance, case management, community organizing
what outreach method includes the nurse reaching out to individuals and families through home visits, churches, or school meetings?
direct outreach
a community nurse is planning fall prevention education in a hispanic community. the nurse would present the educational plan in what order?
1. formulate a bilingual questionnaire- assesses the need for a fall prevention program as well as participant demographics and other concerns 2. assessment- take bp and give participants the fall efficacy scale to give information and provide data to measure after the intervention 3. educate before introducing new solutions and practices- teach about drug side effects, proper nutrition, and health resource information 4. provide demonstration of tai chi, yoga, and swimming 5. all interventions should include an evaluation for process improvement- conduct evaluation and gather suggestions for follow-up
when searching the government websites for information needed for client care, list the steps the nurse should take to find info quickly, in the order they should be performed
1. identify the main focus 2. identify the intended audience using the "about us" link 3. locate the search box 4. electronically bookmark the page
a nurse is participating in a home health agency falls prevention task force. what website should the nurse go to for tips on preventing falls in the home and promoting client safety?
Agency for Healthcare Research and Quality
the nurse is developing a program focused on obesity prevention in a rural community that has recently experienced an influx of refugee families. which website encourages collaboration across communities and sectors?
Healthy People 2020
a hospital is exploring the option of offering healing touch to clients. what is the best site for the nurse to use to evaluate the usefulness and safety of complementary medicine?
National Center for Complementary and Alternative Medicine
the parent of a pediatric client is asking for more info about vaccinations. which action should the nurse perform first to provide reliable and accurate information?
access the CDC using the internet
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 10 miles of the center of town
the community nurse is tending a booth at the county fair to provide informational brochures on how to apply insurance and subsidies related to the affordable care act. what role is the community nurse demonstrating?
advocate -providing education, guidance, and assistance to help community clients navigate the health care system
what is the final step in the nurse's health assessment of a community
analysis
which are components that provide direction for solving problems, managing nursing actions, and improving the health of communities?
assessment, planning, diagnosis, implementation, and evaluation
a tornado has destroyed an area of the local community and destroyed the local water plant. the PHN mobilizes and coordinates care with the hospital, emergency medical services, and the fire department. what core public health function does this action represent?
assurance
the PHN has identified obesity as a health problem in the community. what action taken by the nurse demonstrates the core policy development function of public health at the community level?
attending a school board meeting to present current data
a CHN in Miami has the following clinical question: will non-english speaking pregnant women who receive Spanish language brochures as compared to receiving english language brochures be more likely to have their children immunized? which are paired correctly? a. outcome- come to immunization clinic b. client- non-english speaking, pregnant women c. intervention- receiving english language brochures d- comparison- receiving spanish language brochures
b
in providing education to a client at the health department regarding the risk for heart disease, the nurse identifies several protective factors in the client's chart. which of these factors found in the client's chart indicates a protective factor?
being active in the local church ministries
the occupational nurse would like to id employees who are at risk for heart disease. the nurse has begun taking blood pressures on all new employees, with the intent of identifying early s/s so effective treatment can be sought. what ethical principal does this represent?
beneficence
the nurse involved in collecting the number of new pika virus cases and analyzing where they have occurred is participating in:
biostatistics
what type of disease is the most common, costly, and preventable?
chronic
what are examples of predictive health factors at the family, community, and/or society level?
chronic stress and anxiety, smoking cigarettes
what intervention addresses the building of alliances among groups of people in the community, aligned toward a common purpose of well being?
coalition building --addresses the building of alliances among groups of people in the community, aligned toward a common purpose of well being. this includes building social networks among existing infrastructure and enabling local leaders to promote awareness about health risks.
what are 3 levels of focused practice as noted on the public health intervention wheel?
community-focused practice, individual-focused practice, and systems-focused practice
the nurse educator at a community clinic uses rapid critical appraisal (RCA) for a project on obesity prevention. which step of RCA did the nurse find most informative for seeing the larger perspective at a glance?
creating an evaluation table of obesity prevention studies
the nurse understands that the Rapid Clinical Appraisal Process involves which steps?
creating an evaluation table, determining applicability of the study to the clinical question, deciding which studies are "keepers"
the nurse understands that the rapid clinical appraisal (RCA) process involves which steps?
deciding which studies are keepers
the pediatric nurse is aware of increasing obesity rates and wonders if educational interventions might make a difference during well-child visits. what should the nurse do first?
define the client population
this intervention on the public health wheel relates to specific and direct care actions by CHN's, under the direction of a HCP, as allowed by law. this includes any tasks a nurse delegates to appropriate personnel.
delegated functions
what would the nurse do first when participating in the evaluation of best practice evidence?
develop a clinical question
in the module, sylvia conducts a literature search to find out how to address the fear of falling in the clients at the assisted living facility where she works. based on the evidence she finds, sylvia notes that clients who reported a fear of falling experienced a significant decrease in:
discomfort and symptoms (aches and pains)
the PH nurse knows to perform which shortcut when searching for best practice evidence on the CDC website?
electronically bookmark the page to make it easier to find
what characteristics define a community
encompasses a sense of member belonging, interaction among a group of people, group that shares a common interest
what are examples of tertiary levels of prevention?
encouraging a client with HTN to continue a weight loss program, developing a post-mastectomy exercise program to preserve function
which is a strategy the nurse can use for improving wellness in a community?
enhancing awareness -provides awareness through outreach and education in the community
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
what is true of epidemiological studies?
epidemiological studies are often impeded by the limited availability of data on many contaminants of their short-term and long-term effects on health; other challenges include their time-intensive nature and sometimes inconclusive results in demonstrating casual connections b/t contaminants and illnesses
during an assessment, the CHN 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
the nurse studying epidemiology understands that which nurse was the first to use biostatistics to id patterns of disease, injury, and death for preventative health purposes?
florence nightingale
the nurse is conducting an assessment of fall risk in a community. what information would be included in the falls efficacy scale?
getting dressed, shopping, going down stairs, going to church
what supports the nurse's plan to provide SAMHSA (substance abuse and mental health services administration)-recommedned interventions for a client struggling with alcoholism?
governmental sponsorship ensures the site is reliable, accurate, and up to date
what are strategies from the public health intervention wheel?
health teaching, case management, screening, advocacy, collaboration, surveillance, referral
health people 202 directs the CHN to perform which action when dealing with the challenge of alcohol abuse?
identify at risk clients, utilize data from the National Survey on Drug Use and Health, use reliable and valid tools to screen for addictions and abuse
what action does the nurse perform during the analysis stage of a community health assessment?
identify causal 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
the state public health nurse would like to gather info on general predictive risk factors r/t stroke. the nurse has identified the US Adults: National Health Interview Survey sponsored by the CDC as a good place to being the search. why would the nurse choose this type of assessment tool?
in this survey, data are analyzed to identify mortality risks for a population
which benefits of making exercise a habit could be described as "health promotion"?
increases longevity, improves cognitive function, improves strength and balance
the PHN is providing CPR training to day care workers at the local community recreation center. what essential service is the PHN providing?
inform, educate, and empower people about health issues
the nurse is asked about performing community health interventions. what is a correct statement?
interventions are always based on assessment data
the nurse wants to use an experimental study to determine the effects of exposure to a chemical that is suspected carcinogen. what is true of experimental studies in epidemiology?
it is unethical to expose a person to an environmental risk
the nurse deciding on a career in community health knows what is true of community-based nursing
it provides early id and treatment; care is provided within the context of the client's culture, family, and community; the focus is on prevention
a PHN 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 surrounding areas
which is a true statement about health interventions in specific populations?
outreach is an effective strategy for intervening with substance abuse
which of these locations or strategies would be an effective way for the nurse to communicate the dangers of diabetes to introverts?
pamphlets
what characteristics will the nurse consider when developing interventions for an aggregate group?
people may not interact with each other
what factors does the health belief model specify that health related behavior depends on?
perceived seriousness of illness, perceived susceptibility to illness, benefits of taking action
in the role of a clinical, how can the nurse demonstrate levels of prevention in the field?
performing scoliosis measurements, screening children for depression, administering immunizations
the community nurse is educating seniors at the local senior center on home safety to prevent falls. what level of prevention is the nurse practicing?
primary
the nurse administers childhood vaccinations at health clinic. what level of prevention is this?
primary
a PHN is assessing the community for health needs, health risks, and environmental problems that may affect health. how can the nurse best obtain this data?
searching public records for health statistics r/t the community, conducting a windshield survey of the community environment, interviews of people in the community, survey state and national policy makers
despite local and state air quality policies, the local steel smelting mill has been emitting toxins at night into the air. the residents are concerned about the potential health ramifications; in particular, lung complications. the community nurse has developed an early detection process that includes a lung function screening test. what level of prevention has the nurse activated?
secondary
the nurse is providing blood pressure screening at the local senior center. this is an example of which level of prevention?
secondary
a PHN is administering a Tb test to a hospital employee. what type of screening is this test?
selective
the PHN is preparing a care plan for a client in the community. what factors in the environment should the nurse consider that can impact a client's potential for health and wellness?
size of health care facilities, access to fresh foods and groceries, level of safety to walk or play outside, air quality and number of pollutants
the school nurse is preparing to address the parent-teacher association at the school to provide education on the importance of obtaining vaccination. who is affected by this type of public health outreach?
society
the nurse planning a breast cancer intervention aimed at reducing mortality for african american women should first:
teach clients to understand the TNM classification system
which statement is true about the stages of health prevention?
tertiary prevention seeks to improve the quality of life
a school nurse has id a depression screening instrument to use for middle-school students who are referred by the teaching staff. what ethical consideration should the nurse make prior to performing the screening of students?
the availability of resources if the student has a positive screening
the nurse is reviewing a study using the Rapid Clinical Appraisal Process. which statement would cause the nurse to question the validity of the study?
the results contradict previous research
when searching the internet for info a out important PH issues, the nurse understands what is true of governmental websites?
they contain accurate and up to date information
what is true about community stakeholders?
they should represent all groups in the community
what is the goal for primary disease prevention?
to avoid disease onset through increase of resilience
which nursing model for behavioral change addresses pre contemplation, contemplation, preparation, action, and maintenance?
transtheoretical
the nurse is ready to holistically evaluate the evidence for a community health project on diabetes prevention. which would best guide the creation of an evaluation table?
using nursing judgment to determine what articles to include
a client at the public health clinic reports performing self-breast exams monthly. which protective health factor does this represent?
valuing health
which question helps the nurse determine if a study is applicable?
what is the demographic makeup of the control group? will the results help clinicians care for clients? does the treatment conform to client preferences?