Question 1

A public health nurse (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?

Accepted Answer

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 B

Question 2

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

Accepted Answer

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. A

Question 3

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

Accepted Answer

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

Question 4

Since the Intervention Wheel was first published in 1998, what related event has occurred?

Accepted Answer

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

Question 5

A public health nurse (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?

Accepted Answer

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

Question 6

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?

Accepted Answer

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

Question 7

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?

Accepted Answer

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

Question 8

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

Accepted Answer

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

A public health nurse (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 likely use?

Accepted Answer

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 10

Which statement about the Intervention Wheel is true?

Accepted Answer

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.

Question 11

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?

Accepted Answer

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

Question 12

Public health interventions are implemented with:

Accepted Answer

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 13

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

Accepted Answer

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 14

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

Accepted Answer

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.

Question 15

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?

Accepted Answer

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

Question 16

A public health nurse (PHN) is conducting a community assessment. Which of the following is the best example of this action?

Accepted Answer

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 17

A public health nurse (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?

Accepted Answer

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 18

What levels of practice are encompassed by the Intervention Wheel?

Accepted Answer

A)   Communities, individuals and families, and systems
B)   Assessment, diagnosis, and evaluation
C)   Primary, secondary, and tertiary
D)   Communities, populations, and aggregates

Question 19

Public health nurses (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?

Accepted Answer

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

Question 20

What are the cornerstones of public health nursing practice? (Select all that apply.)

Accepted Answer

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.

Exam 11: Population-Based Public Health Nursing Practice: the Intervention Wheel