Question 1

Which of the following best describes a flaw of many of the health care bills passed during the last four decades?

Accepted Answer

A)  They avoided interfering with the current health care approach and did not improve problems of access or duplication of efforts. 
B)  They encouraged each state to do what was best for its residents without consideration of what was best for the nation as a whole. 
C)  They created new layers of bureaucracy in health care administration. 
D)  They did not include financing to pay for the suggested changes.

Question 2

Which of the following would be the most appropriate indicator for determining the needs of an aggregate? (Select all that apply.)

Accepted Answer

A)  Demand for services as seen in the behaviors of the chosen aggregate members 
B)  Experts' determination of what is needed in the situation 
C)  Nurse's own expertise, skill, and preferences 
D)  Obvious health disparities between the advantaged and disadvantaged populations 
E)  Review of the literature to determine the typical needs of a typical community
F) Verbalized expression of need from the chosen aggregate

Question 3

A nurse is using a systems framework when caring for individuals, families, and aggregates in the community. Which of the following best describes an aspect that would be more challenging when caring for an aggregate as opposed to caring for an individual?

Accepted Answer

A)  Ability to communicate clearly with the client 
B)  Analyzing power and decision making within the system 
C)  Defining the system's structure and functions 
D)  Recognizing the system's goals

Question 4

Which of the following is the most important component of the Planning Approach to Community Health (PATCH) model?

Accepted Answer

A)  Ensuring that careful records of the decisions made were kept 
B)  Community participation throughout the process 
C)  Intensive planning by all professionals involved 
D)  Selection of professional outcome measures

Question 5

A nurse assessed carefully and created a comprehensive intervention plan including primary, secondary, and tertiary care for individuals and families. Which of the following factors may the nurse have overlooked?

Accepted Answer

A)  Are other staff members interested in such a project? 
B)  Are there adequate resources for such a project? 
C)  Is there support from the administration for the project? 
D)  Does the nurse have adequate energy and time for such a project?

Question 6

Which of the following important events related to health care occurred during the Reagan administration? (Select all that apply.)

Accepted Answer

A)  Increase in national health planning and coordination of efforts 
B)  Decrease in both federal control and federal funding 
C)  Increase in state funding with concurrent control by local boards of health 
D)  Implementation of Medicare funding based on diagnosis-related groups 
E)  Suggestions to shift costs and reduce costs
F) Suggestions to mobilize the community to become involved

Question 7

Which of the following best describes the first efforts at improving community health?

Accepted Answer

A)  Environmental planning of water and sewer systems 
B)  Mass community immunizations 
C)  Passing laws requiring quarantine of infected persons 
D)  Segregation of ships from harbors until the harbormaster checked the sailors

Question 8

Which of the following approaches has been suggested to improve the functioning of local and national health planning?

Accepted Answer

A)  Increase nursing involvement. 
B)  Invite citizen participation in health care provision. 
C)  Invite more health professionals to be involved in health planning. 
D)  Increase community involvement among hospitals.

Question 9

Which of the following best describes what Lillian Wald suggested in regards to providing care to individuals and families?

Accepted Answer

A)  Public health nurses should encourage clients to join the Henry Street settlement for mutual growth and support among the families. 
B)  Public health nurses should focus on providing care in the client's home. 
C)  Public health nurses should recognize the larger social and economic forces that the family cannot control. 
D)  Public health nurses should try to understand that educating clients on how to stay healthy is the nurse's primary responsibility.

Question 10

Which of the following must be created before establishing the evaluation plan for a health project?

Accepted Answer

A)  A clear set of both short-term and long-term goals 
B)  Decision as to who will collect the evaluation data 
C)  Observable and measurable objectives 
D)  Setting up a computer program to analyze the evaluation data

Question 11

Which of the following best describes the principal outcome of the Hill-Burton Act?

Accepted Answer

A)  Increased number of hospital beds 
B)  Increased availability of high technology in health care 
C)  Reduced overall health care costs 
D)  Required certificates of need before expensive new construction is started

Exam 7: Community Health Planning, Implementation, and Evaluation