Deck 1: Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

Question 1

The public health nurse analyzes data related to the number and type of United States Environmental Protection agency air quality standards that a community failed to meet.This data is an example of using which community health profile indicator?

A) Sociodemographic characteristics
B) Health status
C) Health risk factor
D) Functional status

Answer 1

Health risk factor

Question 2

The public health nurse must participate in the essential services of public health.These include:

A) Monitoring health status by completing a community assessment
B) Diagnosing and investigating health problems in the world
C) Informing, educating, and empowering people about health issues
D) Working in law enforcement to regulate health and ensure safety

Answer 2

Informing, educating, and empowering people about health issues

Question 3

Public health nurses who develop and implement local public health policies through partnerships with agencies,organizations,and consumers within the community are using which core public health function?

A) Assessment
B) Prevention
C) Assurance
D) Policy development

Answer 3

Policy development

Question 4

The number and proportion of persons aged 25 or older with less than a high school education is an example of:

A) Sociodemographic characteristics
B) Health status
C) Health risk factors
D) Health care resource consumption

Question 5

The nurse who compares the rate of teenage pregnancy in various areas of the city is practicing the public health core function of:

A) Assurance
B) Assessment
C) Prevention
D) Policy development

Question 6

Which of the following is an example of the mission of public health according to the Institute of Medicine?

A) Tracking avian flu outbreaks and doing surveillance in the United States
B) Providing a flu shot for an elderly person at the health department
C) Keeping track of alternative therapies in use in the United States
D) Keeping snake antivenom at the Centers for Disease Control and Prevention in Atlanta

Question 7

The necessary basic preparation for public health nursing is a(n)_____ in nursing.

A) Associate's degree
B) Baccalaureate degree
C) Master's degree
D) PhD

Question 8

The nurse manager who makes sure that the staff members who work in a local clinic are competent is demonstrating the public health core function of:

A) Assurance
B) Assessment
C) Prevention
D) Policy development

Question 9

Which of the following statements about public health is accurate?

A) Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches.
B) Expenditures and resources for public health have increased in recent years.
C) Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior.
D) Reform of the medical insurance system is the single change needed to improve the health of Americans.

Question 10

The purpose of public health core functions is to:

A) Clarify the role of the government in fulfilling the mission of public health.
B) Ensure the safety of populations in receiving quality health care.
C) Provide community-based individualized care to every person in the United States.
D) Unite public and private providers of care in a comprehensive approach to providing health care.

Question 11

The public health workforce should demonstrate competency in which of the following competency categories?

A) Financial planning and management
B) Workforce needs assessment
C) Acute care services
D) Curriculum development

Question 12

Public health practitioners prepared at the graduate level should be able to:

A) Teach public and community health nursing
B) Assess and intervene successfully at the aggregate level
C) Diagnose and treat disease and have prescriptive authority
D) Run for political office as experts in public health policy

Question 13

Making sure that essential community-oriented health services are available defines which of the core public health functions?

A) Policy development
B) Assessment
C) Assurance
D) Scientific knowledge-based care

Question 14

Collecting data and monitoring the health status of the population defines which of the core public health functions?

A) Assessment
B) Prevention
C) Assurance
D) Policy development

Question 15

One of the primary focuses of improving the health of the American people in the twenty-first century is to address:

A) Bioterrorism and global health threats
B) Delivery of individual care and hygiene
C) The need for increased hospital and acute care
D) Chronic disease and disability management

Question 16

Which is an example of the primary goal of public health?

A) Ensuring that a newly diagnosed 40-year-old hypertensive man takes his medication
B) Finding home care for a 70-year-old client recuperating from a hip replacement
C) Conducting an infant car seat safety check
D) Contacting a local hospice to admit a terminally ill 60-year-old woman

Question 17

Providing for the availability of essential personal health services for people who would otherwise not receive health care defines which public health core function?

A) Assessment
B) Prevention
C) Assurance
D) Policy development

Question 18

The threat of bioterrorism has the potential to:

A) Dissolve community-based programs.
B) Cause the health care system to collapse.
C) Divert funds from other public safety health care programs.
D) Increase the need for shelters.

Question 19

Population-based preventive programs launched in the 1970s are responsible for increased:

A) Use of tobacco
B) Use of automobile safety restraints
C) Incidence of hypertension
D) Incidence of obesity

Question 20

Public health nursing is a specialty because:

A) It has a distinct focus and scope of practice.
B) It must be done by a registered nurse with a master's degree.
C) It is focused on disadvantaged citizens.
D) It performs interventions at the acute care level.

Question 21

The nurse investigating environmental health problems caused by contaminated ground water is best described as practicing:

A) Community-oriented nursing
B) Community-based nursing
C) Policy development
D) Tertiary care

Question 22

Population-focused practice focuses on defining the problems or needs of and implementing solutions for:

A) Individuals
B) Aggregates
C) Communities
D) Geographical regions

Question 23

The term community-based nursing care is applied when implementing which nursing intervention?

A) Assessing the health needs of a defined community
B) Providing care to families in a community
C) Promoting the health of an entire community
D) Investigating environmental health problems in a community

Question 24

To better address emerging public health issues,a public health nurse enrolls in a course addressing which content area?

A) Leadership
B) Ethics
C) Communication
D) Finance

Question 25

Which statement about community health nursing practice is correct?

A) It focuses on the delivery of personal health services to individuals and families.
B) It provides care to protect the health of the community as a whole.
C) It emphasizes the setting where care is provided for clients and families.
D) It requires a baccalaureate preparation for practice.

Question 26

Which is an example of an aggregate or population?

A) Students in a county school system
B) Christians around the world
C) A patient in the intensive care unit at the local hospital
D) People who play cards together once a week at private homes

Question 27

The nurse who conducts vision screenings on children in the school setting is practicing _____ nursing practice.

A) Community-oriented
B) Public health
C) Community health
D) Community-based

Question 28

Which of the following statements is true with regard to a population focus in public health nursing?

A) Priority is given to the highest risk population.
B) Direct caregiving is limited to preventive measures, such as administration of immunizations.
C) Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care system.
D) Only populations outside institutional settings are considered.

Question 29

Which of the following are considered barriers to public health nursing? Select all that apply.

A) The mindset that the only role for the nurse is at the bedside.
B) The structures within which nurses work and the process of role socialization within those structures.
C) Few nurses receive graduate-level preparation in the concepts and strategies of the disciplines basic to public health.
D) The number of job opportunities in the area has been steadily declining.

Question 30

A public health nurse provides a clinic for HIV-positive citizens in the community.This is an example of:

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Policy making

Question 31

A key opportunity for public health nurses to improve population-focused care is by:

A) Assuming traditional nursing roles
B) Influencing public health policy
C) Conducting community assessments
D) Specializing in community-based nursing practice

Question 32

A population is best defined as a:

A) High-risk group
B) School or institutional setting
C) Collection of individuals who share at least one common characteristic
D) Geographical location within a community

Question 33

A public health staff nurse who has a clear understanding of population-focused practice:

A) Is frustrated providing care to individuals
B) Would rather perform population-focused interventions
C) Is able to improve the effectiveness of care provided
D) Is considered a public health nurse specialist

Question 34

An example of a community health nursing practice is:

A) Administrating a flu shot to a client in a physician's office
B) Conducting a flu shot clinic at a community center
C) Performing a client assessment in a hospital
D) Providing supervision of staff in a rehabilitation center

Question 35

Proposed changes to the health care delivery system in the United States will:

A) Provide new opportunities for public health specialists.
B) Result in isolated care being provided to individuals.
C) Emphasize specialty care.
D) Increase the utilization of acute care services.

Question 36

Implementing quality performance standards in public health is important because:

A) They are used to guide improvement in the public health system.
B) They rigidly control public health.
C) Administrators will not monitor public health at the local level, but instead at the national level.
D) They can be used as hiring guidelines for nurses.