Deck 28: Public Settings

Question 1

As a guest speaker for a group of community health nurses who are considering correctional nursing as a career, a correctional nurse provides an overview of the history of correctional nursing. Which aspect would the nurse describe as the historic view of correctional nursing?

A) Health care to inmates occurred primarily as emergency treatment.
B) Inmates were viewed as not deserving care paid by public dollars.
C) The emphasis was on corrections, not punishment.
D) Prisons provided safe havens from communicable diseases.

Answer 1

Inmates were viewed as not deserving care paid by public dollars.

Question 2

A nurse is considering a career in public health nursing. The nurse determines the need to obtain which level of education for entry-level practice?

A) Associate's degree in nursing
B) Bachelor's degree in nursing
C) Master's degree in nursing
D) Post-master's degree certification

Answer 2

Bachelor's degree in nursing

Question 3

A public health nurse is participating as a member of a job fair in a local community. One of the attendees asks the nurse how public health nursing differs from nursing in general. When describing the differences, which characteristics would the nurse include as reflecting public health nursing? Select all that apply.

A) Acute care services
B) Focus on the greater good
C) Seek out of clients in need
D) Community commitment
E) Health restoration

Answer 3

Focus on the greater good
Seek out of clients in need
Community commitment

Question 4

A public health nurse is engaged in the public health function of assessment. Which activity would the nurse most likely be involved with?

A) Prioritizing the issues of a community to determine appropriate interventions
B) Evaluating for potential safety hazards in a childcare center
C) Ensuring that children in a day care center are properly immunized
D) Working with officials to develop a program for solving a problem

Question 5

A public health nurse is conducting an orientation program for a group of new public health nurses. The nurse determines that the teaching was successful based on which statement by the group about public health nursing and other types of nursing?

A) The priorities are the same for both public health nursing and other types of nursing.
B) In hospital nursing, nurses must address the issues that come to them. Whereas in public health nursing, nurses must actively seek out and identify potential problems and situations.
C) Nurses whose main practice is in the hospital are required to collaborate more effectively than public health nurses.
D) Nurses who work in public health do not use the nursing process as a foundation for their work.

Question 6

A public health nurse is working with various officials to foster public health. The nurse would expect that the group would contact which organization as the primary federal agency involved with public health?

A) Environmental Protection Agency
B) Department of Homeland Security
C) Department of Agriculture
D) Department of Health and Human Services

Question 7

A public health nurse is employed by the Indian Health Services. This nurse is working at which level?

A) Local
B) Community
C) State
D) Federal

Question 8

A public health nurse asks another public health nurse who is a member of the U.S. Public Health Service Commissioned Corps about what is needed to qualify for a position. Which qualifications would the nurse most likely include in the response? Select all that apply.

A) Age over 45 years
B) Bachelor's degree in nursing
C) Valid nursing license
D) U.S. citizenship
E) Clean security suitability clearance

Question 9

A public health nurse is working with several communities to develop appropriate programs for health surveillance to improve client care and health research. Which agency would the nurse contact to obtain information on this topic?

A) Centers for Disease Control and Prevention
B) National Institutes of Health
C) Agency for Health Care Research and Quality
D) Food and Drug Administration

Question 10

A community health nurse is advocating for the development of school-based health clinics in the community high schools as a means to accomplish which outcome?

A) Maintain the current absentee rate.
B) Provide contraceptive services.
C) Increase ready access to health care services.
D) Promote increased use of emergency services.

Question 11

A nurse is attending a career day at the local college. One of the speakers is a school nurse who is describing the educational requirements for this position. Which level of education would the school nurse cite as a minimum requirement?

A) Associate's degree in nursing
B) Bachelor's degree in nursing
C) Master's degree in nursing
D) Post-master's degree certification

Question 12

A public health nurse is reading an article about the impact of the Supreme Court decision regarding Estelle v. Gamble. The nurse would identify which impact as related to this decision?

A) It created the need for cleaner, less crowded facilities.
B) It led to major reforms including establishment of inmates' rights.
C) It required the use of managed care organizations for service.
D) It mandated care to be provided in a timely fashion.

Question 13

A nurse working in a correctional setting provides care to inmates with various health conditions. Based on research, which health conditions would the nurse most likely address as most prevalent? Select all that apply.

A) Heart disease
B) Tuberculosis
C) Hepatitis C
D) Asthma
E) Substance abuse

Question 14

A school nurse functions to promote a healthy school environment. Which activity would be most appropriate for the nurse to do?

A) Advocate for proper nutrition and exercise to address obesity.
B) Provide care for children with asthma.
C) Develop individualized health plans.
D) Engage in incidental teaching about scoliosis.

Question 15

A school nurse who is not a nurse practitioner works in an elementary school (K-4) with 1,200 students. Which activities would be most appropriate for the nurse to engage in with this group? Select all that apply

A) Screening for scoliosis
B) Vision and hearing screening
C) Teaching basic health practices
D) Monitoring chronic illnesses
E) Ordering medications
F) Providing primary care

Question 16

A school nurse is describing the responsibilities associated with this specialty to a group of nurses at a job fair. One of the nurses asks, "What is your primary responsibility?" Which response would be most appropriate?

A) "I provide care to children with special health needs."
B) "I work to prevent illness among the school community."
C) "I conduct health screenings."
D) "I assess acute health problems."

Question 17

A school nurse is reviewing the population of school-age children for chronic conditions. Which conditions would the school nurse expect to find most often? Select all that apply.

A) Rheumatoid arthritis
B) Asthma
C) Diabetes
D) HIV/AIDS
E) Tuberculosis
F) Seizures

Question 18

A school nurse is providing care to a group of children with severe food allergies. Which intervention would be most important for the nurse to include in the child's plan of care?

A) Ensuring that the child has ready available access to epinephrine via an autoinjector
B) Advising teachers to call the child's parents in case of a reaction
C) Teaching other students how to administer the epinephrine via an autoinjector
D) Administering daily medication to control the allergies

Question 19

A correctional nurse is working to develop programs for inmates and reviews the demographics of this population to determine potential issues. When comparing this population to the general population, which finding would the nurse expect?

A) Greater portion of inmates who are white
B) About half are serving time for drug offenses
C) Equal distribution of socioeconomic backgrounds
D) Incarceration primarily for commission of minor crimes

Question 20

A correctional nurse is proactively working with the institution to develop programs for the facility to address problems and the trends for the future. Which type of program would be most appropriate for the nurse to recommend?

A) Treatment of typical disorders found in younger inmates
B) Dealing with older, sicker, and longer periods of incarceration for many inmates
C) Clinics to address acute disease conditions
D) Education for release after shorter incarcerations

Question 21

A correctional nurse is visiting a local community college to participate in a career day discussion. When describing this role, which information would the nurse include in the discussion?

A) Lower salaries than other fields
B) Primarily assessment oriented
C) Extensive employee benefits
D) Low safety risk

Question 22

A school nurse is addressing the dental health issues of the local community of school children. Which activity would be most appropriate at the community level?

A) Educating parents about the importance of oral health
B) Teaching children how to brush and floss properly
C) Assisting with finding resources for those without dental insurance
D) Advocating for the fluoridation of drinking water

Question 23

Which conditions would the school nurse who is dealing with a primarily adolescent school population focus on? Select all that apply.

A) Substance abuse
B) Eating disorders
C) Suicide prevention
D) Sexual activity
E) Dental sealants

Question 24

A public health nurse is conducting a program for a group of nurses that describes the opportunities for public health nursing, school nursing, and correctional nursing. The nurse determines that the program was successful based on which statement by the group about the common roles and functions of these three specialties?

A) Emphasis is placed on the treatment of disease and disability.
B) They all serve the population as client as opposed to individuals as clients.
C) These specialties are paid very well because their setting is supported through public funds.
D) Public health nurses influence the health of vulnerable populations more than the other specialties.

Question 25

A public health nurse is working at the secondary level of prevention in the community to address the issue of cervical cancer. Which activity would the nurse most likely be involved with?

A) Administer HPV vaccine at recommended ages.
B) Encourage the use of condoms with sexual activity.
C) Provide Pap smear testing at regular intervals.
D) Provide emotional support after surgical treatment.

Question 26

A school nurse is working with a child diagnosed with attention deficit/hyperactivity disorder (ADHD). When providing care for this child, which interventions would the school nurse most likely implement? Select all that apply.

A) Administering stimulant medication
B) Assisting with behavioral management techniques
C) Reprimanding the parents for behavior problems
D) Monitoring child's response to medication
E) Encouraging family counseling

Question 27

A school nurse working in an elementary school is reviewing the individualized education plans (IEPs) for a group of students. The nurse understands that an IEP should be completed for children with which conditions? Select all that apply.

A) Diabetes
B) Hearing impairment
C) Asthma
D) Intellectual disability
E) Traumatic brain injury

Question 28

A school nurse is reading a journal article about common chronic conditions associated with school-aged children and common procedures performed by school nurses. Which procedure would the nurse find as being done most often?

A) Wound care
B) Glucose monitoring
C) First aid
D) Nebulizer treatments

Question 29

A public health nurse is interested in contacting a federal agency to obtain information about strategies to assist with the medically underserved populations in the community. Which agency would be most helpful for the nurse to contact?

A) Health Resources and Services Administration
B) Centers for Disease Control and Prevention
C) National Institutes of Health
D) Food and Drug Administration

Question 30

A nurse is preparing the nursing students for a clinical rotation in school nursing. Which statement by the nursing students indicates additional teaching is needed after the educational session about the various activities of a school nurse?

A) School nurses pass medications and care for acute illness.
B) School nurses care for students who have special health needs.
C) School nurses participate in special education plans for students.
D) School nurses are engaged in school legislation regarding courses to be taught.

Question 31

A nurse is teaching nursing students about public health initiatives. Which statement by the nurse best summarizes why funding for public health is important?

A) Funding protects communities, saves lives, and saves money.
B) Prevention of communicable diseases is critical to communities.
C) Smoking cessation programs have decreased in the last 20 years.
D) Health resources provided by state organizations keep communities strong, prevent diseases, and aid to program development.

Question 32

A nurse is teaching about the mission, core values, and service of the Commissioned Corps of the U.S. Public Health Service. Which professions have a role in this federal program? Select all that apply.

A) Nurses
B) Physicians
C) Therapist
D) Scientists
E) Police officers
F) Emergency medical technicians

Question 33

A nurse who is currently working as a school nurse is reviewing the standards of practice for school nursing. Which are included standards?

A) Be a lifelong learner.
B) Advocate for specialty populations.
C) Use evidence-based practice to deliver care.
D) Ability to use motivational interviewing.