Understanding Public Health and Community Health: Nursing Students' Statements, Exams of Nursing

Download Understanding Public Health and Community Health: Nursing Students' Statements and more Exams Nursing in PDF only on Docsity! Chapter 1 (11QS) 1. After teaching a group of nursing students about the similarities and differences between public health and community health, which of the following statements by a nursing student would indicate knowledge of the similarities and differences between public health and community health? A) “Community health nursing is defined as nursing care that is provided in a community setting, rather than an institutional setting.” B) “Public health nursing is defined as nursing care that is provided in an institutional setting.” C) “Public health nursing is focused on the health of individuals.” D) “Community health nursing can shape the quality of community health services and improve the health of the general public.” 3. Which of the following is most accurate about the concept of community? A) A community is a collection of people who share some important features of their lives. B) Community members live in the same geographic location. C) Community members are biologically related. D) A community is made up of people who do not necessarily interact with one another and do not necessarily share a sense of belonging to that group. 5. Which of the following would a community health nurse identify as a community of common interest? A) The global community B) Small rural town in a northern state C) National professional organization D) Counties addressing water pollution 6. The nurse is working with a community of solution. Which of the following would the nurse expect to find? A) A health problem affecting the group B) Common goal binding members together C) Sharing of a similar goal D) Locational boundaries 7. Which one of the following statements made by a student would the nurse educator recognize as evidence that a student understands the health continuum? A) The distinction between health and illness is well demarcated. B) Illness refers to a state of being relatively unhealthy. C) The term health is limited to reflect an individual's state. D) Treatment of acute conditions reflects the current focus of health care. 8. When discussing the concept of the health continuum with a class, the nurse educator would be certain to include which statement in the description? A) Wellness is a relative concept, not an absolute, and illness is a state of being relatively unhealthy. B) A client's placement on the health continuum is static throughout time. C) Health is best described as cyclic. D) The health continuum can only be applied to individuals. 12. plan of primary prevention activities. Which of the following might the nurse include? Select all that apply. A) Teaching about safe-sex practices to high school students B) Encouraging older adults to install safety devices in the bathroom C) Providing regular immunization programs for communicable diseases D) Participating in cholesterol screening programs at health fairs E) Providing skin testing for tuberculosis for children over 1 year of age F) Working with a group testing water samples for contamination 15. A community health nurse works to ensure the greatest good for the greatest number of people by applying which of the following? A) Secondary prevention activities B) Autonomy C) Justice D) Utilitarianism 17. Which of the following would be crucial for the community health nurse to address as the priority when dealing with policy makers about the development of community health programs? A) Research-based best practices B) Population's make up C) Amount of services to be provided D) Scarcity of the available resources 18. After a class that described the differences between acute care nursing and community health nursing, which statement by the class about community health nurses indicates 8. A student is planning a presentation about the evolution of public health nursing. As part of the presentation, the student would identify which person as being the first one to use the term “public health nursing”? A) Jessie Sleet B) Lillian Wald C) Lina Rogers D) Margaret Sanger 9. Which of the following are important contributions made by Lillian Wald to the profession of public health nursing? Select all that apply. A) Demonstrating the effectiveness of placing school nurses in public schools to reduce absenteeism and improve follow-up of problems identified in school children B) Promoting the use of birth control C) Convincing the Metropolitan Life Company that nurse intervention could reduce death rates D) Providing rural “frontier nursing” to serve mountain families in Kentucky E) Founding the National Organization for Public Health Nursing (NOPHN) 12. Which of the following nurses openly defied a law that she saw as unjust and eventually resulted in the formation of The International Planned Parenthood Federation? A) Lillian Wald B) Florence Nightingale C) Margaret Sanger D) Mary Brewster 17. A prospective nursing student is interested in working in community health nursing after graduation. Which type of education would be most appropriate for this student to choose? A) Diploma program B) Associate degree C) Baccalaureate degree D) Graduate degree Florence Nightingale “pure air, pure water, efficient drainage, cleanliness, and light.” Chapter 4 (4QS) 12. After a class discussion on moral evaluations, which characteristic if identified by the class would lead the instructor to determine that the discussion has been effective? A) There is specificity that applies to an individual person. B) A special place is given to a person's own welfare. C) Other values cannot override the moral evaluation. D) They relate to a matter of individual taste. 14. A community health nurse obtains a client's informed consent for care demonstrating the understanding that this is derived from which value? A) Self-interest B) Well-being C) Equity D) Self-determination 17. A community health nurse is applying the value of equity in decision making with clients. Which of the following best describes this value? A) Forming, revising, and pursuing personal life plans B) Promoting clients' health and a sense of wellbeing C) Fulfilling one's desires over those of others D) Treating similar cases in the same fair fashion 18. When working with clients, a community health nurse promotes the clients' self-concept and health promoting behaviors. The nurse is attempting to achieve which outcome? A) A value system B) Prescriptive–proscriptive beliefs C) Individual autonomy D) Values clarification Chapter 6 (8QS) 1. After a class on important historical influences on community health care, the students are asked to describe the impact of the Shattuck Report. Which response indicates that the students have understood the information? A) “It influenced the speed with which healthfocused bills pass the legislature.” B) “The report set up the organizational structure of the U.S. Public Health Service.” C) “It emphasized sanitary progress forming the basis for current public health practice.” D) “It de-emphasized the issues addressed in the Hebrew hygienic code.” 4. When seeking employment, a community health nurse decides to focus the search on official health care agencies, based on the understanding that these agencies are A) voluntary. B) tax supported. C) proprietary. D) privately funded. 9. A community health nurse primarily works with mothers and their high-risk children, often referring them to various voluntary agencies for services. Which of the following would be examples of voluntary health agencies? Select all that apply. A) American Diabetes Association B) The U.S. Public Health Service C) The National Institutes of Health D) Women, Infant, and Children Program (WIC) E) National Society for Autistic Children F) Planned Parenthood Federation of America 13. Which of the following statements about the international health organization is most accurate? A) PAHO is completely separate from the WHO. B) UNICEF promotes child and maternal health and welfare globally. C) WHO focuses primarily on developing countries. D) WHO and UNICEF are agencies of the United Nations. 14. An instructor is preparing a class presentation on landmark health legislation. Which of the following would the instructor include as the most significant legislation that attempts to ensure access to health care for Americans? A) Social Security Act B) Hill-Burton Act C) Patient Protection and Affordable Care Act D) Omnibus Budget Reconciliation Act 18. As part of a community wide education program, a community health nurse is developing a teaching plan about Medicare. Which of the following would the nurse include in the plan? Select all that apply. A) It is a state health insurance program for elderly and the disabled. B) Medicare Part A covers medically necessary hospitalization, home care, hospice services, and limited-skilled nursing services. C) Analyze the findings.5 D) Disseminate the findings7 E) Review the literature.2 F) Develop conclusions and applications.6 G) Design the study.3 Chapter 8 (7QS) 3. Which of the following statements accurately describes important steps that a community health nurse must take prior to contacting an individual for an interview regarding communicable disease? Select all that apply. A) Review the information received from the news media reporter for completeness B) Review disease information including the reservoir, incubation period, infectious period, symptoms, and treatment C) Take all appropriate treatments to the interview site D) Investigate only laboratory confirmed communicable diseases E) Eradicate the disease 6. When reviewing the trends in communicable diseases for a county, the community health nurse notes that there was an increased incidence of Lyme's disease. The nurse develops a plan for prevention and control integrating the understanding that this disease is most likely transmitted by which mode? A) Vector B) Airborne C) Vehicle-borne D) Direct 9. Which of the following statements about modes of transmission are true? Select all that apply. A) Direct transmission requires contact with a contaminated inanimate material. B) Indirect transmission is also known as vehicle-borne illness. C) Food- and water-related illnesses are considered to be spread by indirect transmission. D) Vector transmission requires contact with a nonhuman carrier such as an animal or insect. E) Airborne transmission commonly occurs from coughing and sneezing. 13. The three main approaches to the tertiary prevention of communicable disease include which of the following? A) Education, immunization, and screening B) Screening, immunization, and isolation and quarantine C) Case and contact investigation, notification, and treatment D) Care and treatment, isolation and quarantine, and safe handling and control of infectious wastes 14. If an agency discards used needles and syringes in plastic milk jugs, which of the four key elements of an infectious waste management program that are applicable to community practice would the agency be violating? A) Health professionals must be able to correctly distinguish biohazardous waste from biomedical waste. B) The waste management program must have administrative support and authority to institute practice guidelines. C) Handling of the infectious wastes must be minimized. Containers should be rigid, leak resistant, and impervious to moisture. D) An enforcement or evaluation mechanism must be in place to ensure that the potential for exposure to infectious waste is met. 15. The community health nurse determines that the adult population in the community has an increased incidence of vaccine preventable disease. Which of the following are factors that may contribute to low vaccination levels among adults? Select all that apply. A) Lack of comprehensive vaccine delivery systems to the public and private sectors for adults (similar to the Vaccines for Children program for children) B) Lack of statutory requirements for vaccination of adults C) Health care providers may lack current information about recommended adult immunizations and may miss opportunities to vaccinate adults during contacts in offices, outpatient clinics, and hospitals. D) Adults fear injections for immunizations but do not worry about adverse effects after vaccination. E) A multitude of comprehensive vaccination programs exist in settings where healthy adults congregate such as workplaces and other locations. 17. Which of the following statements about immunization is most accurate? A) Immunization is helpful in the spread of all communicable diseases. B) Immunization cannot provide herd immunity. C) Immunization is the process of introducing a form of a disease-causing organism into a person's system to promote the development of antibodies that will resist the disease. D) Immunization is the process of administering antibodies to a person. Chapter 13 (7QS) 1. When developing a teaching plan for a class that describes health policy, which of the following would the instructor include as an example of a regulatory health policy? A) Licensure of health professionals B) Federal subsidies for nursing education C) Benefits for needy groups D) Allocating resources among groups 6. When describing public health nursing to a group of community health nurses, which of the following would be identified as its foundation? A) Social marketing B) Social justice C) Social disparities D) Advocacy 7. Which of the following statements about special interest groups and policy making are true? Select all that apply. A) Others will be persuaded by facts alone. B) Power is wielded by special interest groups, business, and industry. C) Nurses need to provide input to policy circles through advocacy. D) Nurses need to provide leadership at decisionmaking tables. E) There are power struggles behind all legislation and health care regulation. 10. Which of the following statements reflect progress in public policy that can be attributed to professional nursing organizations? Select all that apply. A) Professional nursing organizations have elevated nursing professionalism. B) Professional nursing organizations have given voice to the inequalities that affect our society. C) Professional nursing organizations have developed the paradigms that influence and affect public health. D) Nursing is regarded as a major player in Washington when discussing health care policy. E) Professional nursing organizations have a long and consistent relationship with public policy. 13. Which of the following statements about power and empowerment are true accurate? Select all that apply. A) Power is the ability to act or produce an effect and possess control, authority, or influence over others. B) Empowerment is a process of assisting communities to come together to express their values and ideas to those outside the community. C) If power is the ability to control, predict, and participate in one's environment, then A) 30 days B) 60 days C) 90 days D) 120 days 9. A home health care nurse is working with informal caregivers. Which of the following is most important? A) Include the client's spouse or significant other in the plan B) Visit frequently to manage and maintain equipment C) Focus on caretaker abilities, not their limitations D) Use nurse's intuition to determine what to teach first 10. When providing home health care, which individual is responsible for coordinating the care? A) Registered nurse B) Social worker C) Physician D) Dietician 11. When visiting a client in the home for the first time, which of the following is absolutely critical to remember? A) There may be dangers lurking around every corner. B) Clients are glad to have the nurse in their home. C) The nurse is a guest in the client's home. D) The nurse knows what is best for the client. 12. A home health care nurse reviews the most common conditions managed at home. Which of the following are the most common conditions managed at home? Select all that apply. A) Chronic skin ulcer B) COPD C) Heart failure D) Terminal cancer E) Diabetes 13. When developing the plan of care for a client receiving home health care services, which of the following would be the most important goal? A) Promotion of client independence B) Complete resolution of the problem C) Detecting family conflicts D) Ensuring access to resources 15. The family of a hospice client is holding a vigil at the client's bedside. During a visit, a hospice nurse participates in this vigil and encourages each of the family members to say their good-byes. The nurse is demonstrating which of the following? A) Palliative care B) Guided letting go C) Connecting D) Responsive use of self 17. A home health care nurse is assigned to visit a client's home. The nurse identifies the area as a problem neighborhood. Which of the following would be most appropriate for the nurse to do? A) Perform the visit via telephone B) Have another nurse buddy along C) Reschedule the visit for another time D) Leave the cell phone at home 18. A home health care nurse is invited as a guest speaker to talk to a group of students about challenges of working in the home. As part of the discussion, the nurse describes medication safety. Which of the following would the nurse include as a measure to address this issue? A) Asking the client what he or she takes the drug for B) Throwing out any medications over 1 month old C) Reconciling drugs in the home with those on the discharge sheet D) Setting up medication boxes to organize the medications 20. After teaching a group of students about hospice and its view of end-of-life care, which statement by the students indicates a need for additional teaching? A) Care should attend to the body, mind, and spirit. B) Death is not considered a taboo topic. C) Medical technology should be used widely. D) Clients have a right to truthful discussion