Chapter 01: Community and Prevention-Oriented, Population-Focused Practice: The Foundation of Specialization in
Public Health Nursing
1. One of the primary focuses of improving the health of the American people in the twenty-first century is to address: bioterrorism and global
health threats.
2. A community is concerned about the threat of bioterrorism. Which of the following best describes the basis for this concern? The threat of
bioterrorism may divert funds from other public safety health care programs.
3. Which of the following describes the consequence of the successful implementation of the Affordable Care Act? The majority of the population
will be covered by insurance.
4. The public health nurse (PHN) must participate in the essential services of public health. Which of the following most accurately describes one of
the essential services of public health? Informing, educating, and empowering people about health issues
5. A public health department is using the mission of public health as described by the Institute of Medicine when planning its health programming.
Which of the following activities will most likely be implemented? Tracking avian flu outbreaks and doing surveillance in the United States
6. A public health department makes sure that the essential community-oriented health services are available in the community. Which of the
following core public health functions is being implemented? Assurance
7. The purpose of public health core functions is to: clarify the role of the government in fulfilling the mission of public health.
8. Which of the following statements about public health is accurate? Historically, gains in the health of populations have been related largely
to changes in safety, sanitation, and personal behavior.
9. A PHN collects data and monitors the health status of the population. Which of the following core public health functions is being implemented?
Assessment
10. The PHN compares the rate of teenage pregnancy in various areas of the city. Which of the core functions of public health is being implemented?
Assessment
11. A PHN develops and implements local public health policies through partnerships with agencies, organizations, and consumers within the
community. Which of the following core public health functions is being used? Policy development
12. A nurse provides for the availability of essential personal health services for people who would otherwise not receive health care. Which of the
public health core functions is being used? Assurance
13. The nurse manager makes sure that the staff members who work in a local clinic are competent in their job responsibilities. Which of the public
health core functions is being demonstrated? Assurance
14. A nurse performs activities to meet the primary goals of public health. Which of the following is the nurse most likely to complete? Conducting
an infant car seat safety check
15. A community health nurse collects data about the number and proportion of persons aged 25 or older with less than a high school education.
Which of the following best describes this data? Sociodemographic characteristics
16. The PHN 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? Health risk factor
17. A nurse is implementing quality performance standards in a public health department. Which of the following best describes the importance of
this action? Quality performance standards are used to guide improvement in the public health system.
18. To better address emerging public health issues, a PHN plans to complete continuing education in this area. Which of the following content areas
should be included in the course that is chosen? Ethics
19. The public health workforce should demonstrate competency in which of the following competency categories? Financial planning and
management
20. Public health nursing is a specialty because: it has a distinct focus and scope of practice.
21. The necessary basic preparation for public health nursing is a(n) in nursing. baccalaureate degree
22. A PHN has been prepared at the graduate level. Which of the following activities should the practitioner be able to complete? Assess and
intervene successfully at the aggregate level
23. A PHN provides a clinic for HIV-positive citizens in the community. Which of the following best describe this activity? Tertiary prevention
, 24. A nurse is working in the community with an aggregate/population. Who is the nurse most likely to interact with? Students in a county school
system
25. A population is best defined as a: collection of individuals who share at least one common characteristic.
26. Population-focused practice focuses on defining the problems or needs of and implementing solutions for: aggregates.
27. A nurse is using a population focus when providing public health nursing care. Which of the following statements best describes the care that is
being provided? Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care
system.
28. A nurse is working in a community health nursing practice setting. Which of the following is the nurse most likely to implement? Administrating
a flu shot to a client in a physician’s office
29. Which statement about community health nursing practice is correct? It focuses on the delivery of personal health services to individuals and
families.
30. A nurse is implementing community-based nursing care. Which of the following nursing interventions is the nurse most likely to complete?
Providing care to families in a community
31. A nurse is conducting vision screenings on children in the school setting. Which type of nursing practice is the nurse performing? Community-
based
32. The nurse is investigating environmental health problems caused by contaminated ground water. Which of the following types of nursing practice
is being used? Community-oriented
33. A public health staff nurse has a clear understanding of population-focused practice. Which of the following characteristics would the nurse most
likely display? Able to improve the effectiveness of care provided
34. PHNs are looking to improve population-focused care in the community. Which of the following best describes a key opportunity for the nurses
to accomplish this goal? Influencing public health policy
35. A local senator has proposed changes to the health care delivery system in the United States. Based on current trends, which of the following is
most likely to occur? There will be new opportunities provided for public health specialists.
MULTIPLE RESPONSE
1. Which of the following are considered barriers to public health nursing? (Select all that apply.) The mindset that the only role for the nurse is at
the bedside, The structures within which nurses work and the process of role socialization within those structures, and Few nurses receive
graduate-level preparation in the concepts and strategies of the disciplines basic to public health
Chapter 02: History of Public Health and Public and Community Health Nursing
1. In the past, population-centered nurses have been called: district nurses.
2. A nurse is working in a public health nursing setting. Which of the following best describes why this specialty is appealing to nurses? Autonomy
and independence of practice
3. Current threats to health in the United States that community health nurses are faced include: HIV, H1N1 influenza, and bioterrorism.
4. A nurse is working to reform a program that was based on the Elizabethan Poor Law of 1601. Which of the following programs is the nurse
most likely working on? Medicaid
5. In early colonial North America, a colonist worked in the public health sector. Which of the following would have most likely been the focus?
Collecting vital statistics and improving sanitation
6. A nurse was employed by the Marine Hospital Service. Which of the following tasks would have most likely been the responsibility of the nurse?
Providing health care for merchant seamen
7. Florence Nightingale’s contributions to public health included: using a population-based approach that led to improved environmental conditions.
8. Lillian Wald’s major contribution to public health nursing was: establishing the Henry Street Settlement.
9. A nurse is providing public health education based on the teachings of Lillian Wald. Which of the following topics will the nurse most likely
discuss? Safe and sanitary baby and child care
10. Nurses who provided care to people in their homes and provided that care to several people at a time were called nurses. visiting
11. Neighborhood centers that provided health care, education, and social welfare programs were called: settlement houses.
, 12. A nurse worked in a school setting during the early twentieth century. Which of the following would have been the focus of this nurse’s practice?
Investigating causes of absenteeism
13. A nurse is comparing the historical practices of industrial and occupational health nurses. Which of the following would the nurse most likely
note when comparing these two occupations? Industrial nurses provided care for workers in their homes, whereas occupational health nurses care
for work-related injuries.
14. The document Visiting Nursing in the United States highlighted the fact that: visiting nurse services were concentrated in the northeastern United
States.
15. During the time when the Rural Nursing Service was operating through the American Red Cross, a nurse needed to demonstrate
resourcefulness. Which of the following tasks would the nurse most likely have done? Using hot bricks, salt, or sandbags to substitute for hot
water bottles
16. Local health departments were formed in urban areas in the late 1800s to: target environmental hazards associated with crowded living
conditions.
17. A nurse was involved in the original work of the National Organization for Public Health Nursing. Which of the following best describes the
influence this has had on nursing practice today? Standardizing public health nursing education
18. A nurse is considering joining the American Public Health Association (APHA). Which of the following information about this organization
should be considered when making this decision? APHA provides a forum for nurses to discuss their public health concerns
19. Which statement is true about African American nurses in public health? Certificate and graduate education were more difficult to obtain.
20. A nurse had the opportunity to work with Mary Breckinridge. Which of the following would the nurse most likely have assisted with?
Developing health programs geared toward improving the health care of the rural populations
21. A nurse is providing care to clients through the FNS. Which of the following clients would the nurse most likely have seen? A woman in labor
22. A major provision of the Social Security Act of 1935 was the establishment of: state and local community health services and training of
personnel.
23. A student is enrolled in a nursing education program during World War II. Which of the following groups would the student most likely have
joined? The Cadet Nurse Corps
24. Which of the following best describes one of the health trends that occurred in the United States between 1900 and 1955? There was a rise in
chronic diseases such as heart disease and cancer.
25. A PHN is compiling information about how to promote early detection of breast cancer in women. Which document would most likely provide
useful information about this topic? Healthy People 2020
26. A neighborhood health center is researching its origins. Which of the following legislative acts most likely provided funds for its development?
Economic Opportunity Act
27. A 66-year-old woman is retired and no longer has health insurance through her place of employment. Which of the following programs would be
appropriate for her health insurance needs? Medicare
28. A PHN became involved in health care reform. Which of the following best describes the purpose of this action? Improve health care access and
reduce health care costs
MULTIPLE RESPONSE
1. The impact of World War I on public health nursing included which of the following? (Select all that apply.) The ranks of PHNs depleted
because many went off to war., The feeling that the greatest patriotic duty was to stay at home., Expanding nursing services in the community
was limited by lack of funding.
Chapter 03: The Changing U.S. Health and Public Health Care Systems
1. In the United States, the majority of health care dollars are spent on: hospital care.
2. The number of uninsured Americans has dramatically increased because: health insurance coverage was dropped from employment-based health
plans.
3. A nurse is working with a community to decrease the occurrence of influenza. Which of the following U.S. Department of Health and Human
Services (USDHHS; or simply HHS) goals is being applied? Advance the Health, Safety, and Well-being of the American People
4. According to the 1999 Institute of Medicine report, as many as 98,000 deaths each year could be attributed to: medical error.
, 5. Residents of rural communities report that they must travel for long distances to obtain health care services. As a result, they seek health care only
for emergencies and severe illnesses. Which aspect of the health care system in the United States is illustrated in this situation? Access to care
6. A nurse is exploring a job opportunity at a community health center. Which of the following expectations would the nurse have about the center?
Offers comprehensive primary care services and supportive services
7. A nursing program has initiated a recruitment campaign focusing on increasing the minority students in its program. Which of the following best
describes the rationale for this program? Minority health care professionals who share the same culture with the clients may provide more
effective care.
8. A community health nurse is utilizing telehealth. Which of the following best describes the rationale for its use? Improves access to care in rural
areas
9. One of the goals of the World Health Organization (WHO) is to: provide PHC services to everyone.
10. A public health agency is considering implementing an electronic health record. Which of the following best describes one of the benefits the
agency will experience? Facilitation of interprofessional care
11. A nurse interacts with a 25-year-old woman at a community health center who is obtaining a gynecological examination and birth control pills.
Which of the following types of care is the client receiving? PHC
12. A client is receiving PHC services. Which of the following expectations would the client have? The emphasis of care provided would be on
prevention.
13. A nurse who was working in public health care has gotten a new job in primary care. Which of the following differences would be seen by
the nurse in this new care setting? Focus on individuals
14. What initiative began as a result of a resolution adopted by the WHO in 1977? PHC movement
15. PHC in the United States: lacks community participation and a multidisciplinary health care delivery team.
16. A community health nurse reviews Healthy People 2020 when considering the health needs that will be addressed in the community. Which goal
would the nurse find in this document? Eliminate health disparities
17. An 80-year-old woman comes to the community health center with a large bag of medications. She tells the nurse she can no longer afford these
medications because her only income is Social Security. Which statement is the best response by the nurse? “Let’s see if we can get some help
from Medicare to pay for these medications. I will refer you to our social worker.”
18. A nursing student is researching advanced practice nursing options. Which of the following discoveries would most likely be made by the nursing
student? Nurse practitioners may work independently depending on the state practice act.
19. A nursing student interviews a member of the local congressional district to learn more about the health care system in the United States. Which
statement made by the congressman would be accurate? Managed care failed because Americans were used to free access to providers of their
choice.”
20. The federal agency of the public health system that is most involved with the health and welfare of United States citizens is the: U. S. Department
of Health and Human Services.
21. A nurse works to promote the passage of a public health law to protect the health of the community. Which of the following would the nurse most
likely be promoting? Mandating immunizations for all children entering kindergarten
22. A nurse is working in a state health department. Which of the following programs would the nurse most likely be working with? HIV/AIDS
service
23. A nurse is employed by the Department of Homeland Security. Which of the following actions would be expected by this department? Prevention
and protection against terrorist attacks
MULTIPLE RESPONSE
1. What are some of the untoward events categorized in the Institute of Medicine (IOM) report about medical errors? (Select all that apply.) Wrong-
site surgery, Adverse drug events, Improper transfusions, Restraint related deaths
2. A nurse is entering the health care workforce. Which of the following expectations should the nurse have for the workforce? (Select all that
apply.) There is a shortage of nurses in the United States. Schools of nursing turn away qualified applicants due to lack of faculty and limitations
of clinical sites. By 2016 there are expected to be 527,000 new nursing positions.
Chapter 04: Perspectives in Global Health Care
1. The key to achieving the goals of Health for All in the 21st Century (HEALTH21) is the worldwide: implementation of primary health care
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