Deck 9: Population-Based Public Health Nursing Practice: The Intervention Wheel

Question 1

A PHN is using collaboration,coalition building,and community organizing to develop a new program in the community.Which of the following strategies is the nurse most likely using?

A) Providing case management, referral, and follow-up services with individuals
B) Carrying out collective action at the systems or community levels of practice
C) Conducting a community assessment
D) Implementing primary and secondary prevention strategies

Answer 1

Carrying out collective action at the systems or community levels of practice

Question 2

Which statement about the Intervention Wheel is true?

A) It provides a graphic illustration of population-based public health practice.
B) It describes in detail the components of public health nursing.
C) It demonstrates the practice of community health nurses for policy and lawmakers.
D) It is a framework used by all health departments in the United States.

Answer 2

It provides a graphic illustration of population-based public health practice.

Question 3

Which statement is true about the origins of the Intervention Wheel?

A) A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin developed and refined the Intervention Wheel.
B) It was conceived by a group of international nurses from Norway, Kazakhstan, and Japan.
C) It was a result of a qualitative analysis carried out by the State Boards of Nursing.
D) It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health.

Answer 3

It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health.

Question 4

A PHN utilizes the nursing process at all levels of practice.Which of the following demonstrates how this is accomplished?

A) Including specific goals for community health nurses
B) Developing an accurate nursing diagnosis
C) Analyzing the needs of the community, systems, individuals, and families
D) Utilizing primary, secondary, and tertiary prevention

Question 5

PHNs utilize registries to identify children with delayed or missing immunizations.They subsequently follow up with families by phone calls or home visits.Which of the following levels of practice is being implemented?

A) Systems
B) Community
C) Policy
D) Individual

Question 6

A nurse promotes alliances among organizations for a common purpose.Which of the following public health interventions is being implemented?

A) Health teaching
B) Coalition building
C) Surveillance
D) Referral and follow-up

Question 7

A PHN is implementing the public health intervention of health teaching at the systems level of practice.Which of the following interventions is most likely being implemented by the nurse?

A) Participating in the "Great American Smokeout"
B) Working with a local employer to provide smoking cessation education
C) Providing one-on-one counseling to smokers
D) Advocating for increased taxes on tobacco products

Question 8

A PHN is implementing interventions at the systems level of practice.Which of the following interventions would be used by the nurse?

A) Involve the entire community in solving the health problem
B) Identify health problems in the community
C) Change laws, policies, and practices that influence population-based issues
D) Provide outreach services to populations at risk

Question 9

What is the purpose of the color-coded wedges on the Intervention Wheel?

A) The interventions are grouped together in related wedges.
B) The wedges consist of referral information for each wedge.
C) The element of health teaching is the predominant feature of each wedge.
D) Coalition building must be implemented with each wedge.

Question 10

A PHN is conducting a community assessment.Which of the following is the best example of this action?

A) Visiting an elderly person at home to assess and evaluate safety and fall risk
B) Developing diagnoses to identify nursing interventions at a health clinic
C) Evaluating services at an immunization clinic where a translator provides services
D) Compiling recent data from the county health department on child abuse cases

Question 11

A PHN uses Assumption 2,"Public health nursing practice focuses on populations," to guide practice.Which of the following would be considered a population of interest?

A) Healthy school children
B) Homeless individuals
C) A person recently diagnosed with diabetes
D) Teenage parents

Question 12

The levels of practice encompassed by the Intervention Wheel are:

A) communities, individuals and families, and systems.
B) assessment, diagnosis, and evaluation.
C) primary, secondary, and tertiary.
D) communities, populations, and aggregates.

Question 13

An occupational health nurse works with an employer to develop a workplace wellness program for its employees.Which of the following levels of practice is being implemented?

A) Individual
B) Systems
C) Community
D) Government

Question 14

Since the Intervention Wheel was first published in 1998,it has:

A) guided national policy.
B) been used as a tool in deciding licensure issues for State Boards of Nursing.
C) been incorporated into the public health curricula of many nursing programs.
D) gained wide acceptance internationally.

Question 15

PHNs across the United States implement similar types of interventions to improve the health of various groups.Which of the following explains why a common set of interventions is used?

A) Describe the proper order of implementation
B) Emphasize surveillance as the main focus of public health practice
C) Guide practice and generate agency protocols
D) Improve the health status of communities, systems, individuals, and families

Question 16

A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease.Which of the following public health interventions is being applied?

A) Screening
B) Referral and follow-up
C) Surveillance
D) Health teaching

Question 17

A PHN is conducting an assessment of the community's health.Which of the following is being accomplished through this activity?

A) Define one problem that will be the focus for a year
B) Assess a social network of interacting individuals usually in a defined territory
C) Minimize the effects of health risks and hazards
D) Intervene at the population level by changing laws and regulations

Question 18

A nursing student develops a teaching plan about hand washing to present to a group of elementary school children at the local school.Which of the following public health interventions is being implemented?

A) Collaboration
B) Surveillance
C) Health teaching
D) Screening

Question 19

Public health interventions are implemented with:

A) legislators, policy makers, and community leaders.
B) individuals and families, communities, and systems.
C) children, adolescents, and adults.
D) health departments, public health agencies, and visiting nurses associations.

Question 20

A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community.Which of the following levels of practice is being demonstrated?

A) Individual
B) Systems
C) Community
D) Government

Question 21

The cornerstones of public health nursing practice include which of the following? (Select all that apply.)

A) Focus on the health of the entire population
B) Reflect community priorities and needs
C) Promote health through strategies driven by epidemiological evidence
D) Are grounded in an ethic of collaboration.
E) Provide a framework for ethical decision making

Question 22

A PHN is developing a measurable outcome health status indicator that can be used at the individual level of practice.Which of the following would the nurse most likely use?

A) A 50-year-old woman receives annual mammograms
B) School absences in a community decline
C) Teachers have increased awareness of health problems
D) Those in poverty utilize the free mammogram program

Question 23

A PHN is addressing the problem of obesity at the community level of practice.Which of the following nursing diagnoses would be most appropriate for the nurse to use?

A) Alteration in nutrition: More than body requirements
B) Need for increased knowledge of proper nutrition
C) Families at risk for obesity because of inactivity
D) Overweight child related to poor dietary habits