Public / Community Health and Nursing Practice: Caring for Populations 2nd Edition Test Bank by Christine L. Savage
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Public / Community Health and Nursing Practice
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Public / Community Health And Nursing Practice
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Public / Community Health and Nursing Practice: Caring for Populations 2nd Edition Test Bank
Chapter 1: Public Health and Nursing Practice
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Public health nurses (PHNs) know they must approach a public
health issue with an understanding of the related underlying risk
factors to develop effective nursing interventions. They evaluate
these risk factors from two perspectives:
1. Disease; individual
2. Intervention; government
3. Epidemic; population
4. Individual; population
____ 2. A nursing student is studying public health. She learns that, according to C.E.A. Winslow’s definition,
some of the goals of public health include disease prevention, promoting health, control of
communicable infections, and __________________.
1. Risk assessment for disease
2. Promotion of primary care
3. Organization of medical and nursing services for the early diagnosis and preventive
treatment of disease
4. Governmental safety regulations
____ 3. If the international medical community was working to contain several worldwide pandemics, they
would look to the World Health Organization (WHO), which is:
1. The public health arm of the United Nations.
2. Working to improve health and well-being for the global population.
3. Working with nurses to promote public health interventions.
4. All of the above.
____ 4. The Institute of Medicine (IOM), now known as the Health and Medicine Division (HMD) of the
National Academies of Sciences, Engineering, and Medicine, stated in their report, The Future of the
Public’s Health, that there are three core functions that society carries out to collectively support the
optimum conditions for public health. Which one of the following is not one of these functions?
1. Prevention
2. Assessment
3. Policy development
4. Assurance
____ 5. With aging, there is an increased prevalence of both noncommunicable (chronic) and communicable
disease (NCD). The most pressing issue from a public health perspective based on this increase is:
1. An increased demand for long-term care
2. An increased need for further research
3. Further exploration of the developmental stages related to aging
4. Decreased cost of medications.
, Public / Community Health and Nursing Practice: Caring for Populations 2nd Edition Test Bank
____ 6. A PHN would like to use the Dahlgren-Whitehead model to help herself and other local practitioners
understand health in populations. She understands that the Dahlgren-Whitehead ecological model
assumes that:
1. There are multiple determinants of health, and thus multiple strategies are needed.
2. A population and environmental approach is essential.
3. Linkages and relationships are crucial.
4. All of the above.
____ 7. The PHN completed a community assessment and found that the obesity rate in one of the
neighborhoods was higher than the other neighborhoods in the county. She suspects that this is
partially due to limited access to full-service grocery stores and a lack of dedicated safe venues for
exercise. Assuming her conclusion is correct, what category or categories of determinants of health
would these issues within the community fall into?
1. Upstream determinants of health
2. Downstream determinants of health
3. Behavioral determinants of health
4. Genetic determinants of health
____ 8. Two PHNs working in a large urban community notice that community members are rarely engaged in
the process of planning interventions aimed at addressing a particular increase in a specific disease in
the community. For their next project, they include community collaboration as an essential
component of the development, implementation, and evaluation of the program. When questioned by
others, they report that there is evidence that community collaboration increases effectiveness and
productivity, empowers the participants, strengthens social engagement, and ______.
1. Decreases disease rates
2. Ensures accountability
3. Increases the availability of treatment for the targeted disease
4. Improves screening rates
____ 9. Which one of the following scenarios is not an example of community collaboration?
1. Local service groups working to organize disaster relief for tornado victims
2. A city council passing an ordinance to stop smoking in restaurants
3. An advocacy group working with the local churches to improve health care for the
indigent with mental health disorders
4. A school working with the local health department to start a school clinic
____ 10. Which layer of government is primarily responsible for issuing quarantines during a communicable
disease outbreak?
1. Federal
2. State
3. Local
4. All of the above
____ 11. As a PHN in a small local public health department, you understand that based on federal mandates
your public health department routinely performs all but which of the following?
1. Surveillance of disease at the local level
2. Investigation of disease outbreaks
3. Licensing of local hospitals
4. Quarantine
____ 12. The PHN recognizes that environmental science, epidemiology, biostatistics, biomedical sciences, and
____ form the foundational subjects of public health.
1. Economics
2. The humanities
3. Social and behavioral sciences
4. Anthropology
, Public / Community Health and Nursing Practice: Caring for Populations 2nd Edition Test Bank
____ 13. As defined by the World Health Organization (WHO), an example of a health promotion intervention
is ____ whereas a risk reduction/health protection intervention is ____.
1. Conducting a health fair; funding a school exercise program
2. Giving a free exercise class; conducting a flu vaccine outreach program
3. Providing flu medication free to older adults; a diet class for teenagers
4. Offering a tour of a hospital; a relaxation technique class
____ 14. From a health promotion perspective, how could an occupational health nurse advise a company to
encourage its employees to work towards good health?
1. Lower insurance premiums for employees who demonstrate good health habits
2. Have employee exercise classes or discounted health club memberships
3. Have incentives for healthy eating
4. All of the above
____ 15. Diversity refers to all of but which of these concepts?
1. Race
2. Culture
3. Ethnicity
4. Environment
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 16. Many of the emerging threats for public health are tied to increasing globalization. Which of the
following reflect these globalization threats? (Select all that apply.)
1. Greater disparities between rich and poor
2. Greater need for newer technology
3. Greater distribution of tobacco and alcohol
4. Emergence or re-emergence of communicable diseases
5. Increased need for improved transportation
____ 17. Several nurses who work in the emergency department of an urban hospital notice during the evening
shift that a number of children in a certain ethnic population have all come in presenting with similar
symptoms. The first step the nurses take to address the issue is which of the following? (Select all that
apply.)
1. Increase antibiotic therapy availability
2. Identify characteristics of the disease
3. Group patients by diagnosis
4. Notify the public health department
5. Assess the environment of the patients
____ 18. The six standards of practice for public health nursing include which of the following? (Select all that
apply.)
1. Assessment
2. Population diagnosis and priorities
3. Outcomes identification
4. Planning
5. Mitigation
____ 19. Which of the following activities of PHNs reflect the PHN Core Competencies? (Select all that apply.)
1. Develop policy for handling a local quarantine.
2. Understand dietary restrictions when planning a program for new immigrants.
3. Create a financial plan for implementing a community level health intervention.
4. Develop a treatment plan for persons with a specific communicable disease.
5. Analyze data to determine rates of disease in the community.
, Chapter 1: Public Health and Nursing Practice
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Objective: 5. Identify the key roles and responsibilities of public health nurses (PHNs).
Page:
Heading: Introduction to Public Health
Integrated Processes: Nursing Process
Client Need: Physiological Integrity
Cognitive Level: Comprehension
Concept: Critical Thinking, Promoting Health
Difficulty: Easy
Feedback
1 The approach cannot be disease based because diseases can affect populations in
multiple locations, but the risk factors can be different.
2 Interventions occur after the public health event, and governments can only follow the
evidence of public health studies.
3 An epidemic is an occurrence of a disease and has the same limitations as a disease-
based approach.
4 PHNs assess risk for disease and other public health issues at both the individual level,
so that they can intervene on a one-to-one situational basis, as well as at the population
level to identify risk factors beyond the individual level and implement population-level
interventions.
PTS: 1 REF: 2 CON: Promoting Health | Critical Thinking
2. ANS: 3
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Public Health Science and Practice
Integrated Processes: Nursing Process
Client Needs: Health Promotion and Maintenance
Cognitive Level: Knowledge
Concept: Infection; Nursing Roles; Promoting Health
Difficulty: Easy
Feedback
1 Risk assessment is considered a part of disease prevention.
2 Promotion of primary care occurred through the Alma Ata World Health Organization
conference not Winslow’s definition.
3 Health-care providers are an essential component of public health.
4 The goal of public health is to guide governmental policy but not to create regulations.
PTS: 1 REF: 3 CON: Infection | Nursing Roles | Promoting Health
3. ANS: 4
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
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