(Test Bank) Public / Community Health And Nursing Practice:Caring For Populations

Savage, 2

Nursing

Test Bank

2nd Edition

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Test Bank for Public / Community Health And Nursing Practice:Caring For Populations, The downloadable file consists of 346 pages, and the total size of the file is 3.94 MB. Purchase now only for highly discounted price.

Author(s): Savage

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TEST BANK: PUBLIC / COMMUNITY HEALTH AND NURSING PRACTICE:CARING FOR POPULATIONS, 2ND EDITION, CHRISTINE L. SAVAGE TABLE OF CONTENTS Unit I. Basis for Public Health Nursing Knowledge and Skills 1 Public Health and Nursing Practice 2 Optimizing Population Health 3 Epidemiology and Nursing Practice 4 Introduction to Community Assessment 5 Health Program Planning 6 Environmental Health Unit II. Community Health Across Populations: Public Health Issues 7 Health Disparities and Vulnerable Populations 8 Communicable Diseases 9 Non - communicable Diseases 10 Mental Health 11 Substance Use and the Health of Communities 12 Injury and Violence 13 Nursing and Global Health Unit III. Public Health Planning 14 Health Planning for Local Public Health Departments 15 Health Planning for Acute Care Settings 16 Health Planning for Primary Care Settings 17 Health Planning with Rural and Urban Communities 18 Health Planning for Maternal -Infant and Child Health Settings 19 Health Plann ing for School Settings 20 Health Planning for Older Adults 21 Health Planning for Occupational and Environmental Health 22 Public Health Policy and Finance 23 culture and public health nursing 24 Vulneralable populations 25 Disaster Management and Public Health Emergency Preparedness Chapter 01: Public Health and Nursing Practice Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Public health nurses (PHNs) know they must approach a public health issue with an understanding of the related underlying risk factors to develop effective nursing interventions. They evaluate these risk factors from two perspectives: 1. Disease; individual 2. Intervention; government 3. Epidemic; population 4. Individual; population 2. A nursing student is studying public health. She learns that, according to C.E.A. Winslow’s definition, some of the goals of public health include disease prevention, promoting health, control of communicable infections, and _. 1. Risk assessment for disease 2. Promotion of primary care 3. Organization of medical and nursing services for the early diagnosis and preventive treatment of disease 4. Governmental safety regulations 3. If the international medical community was working t o contain several worldwide pandemics, they would look to the World Health Organization (WHO), which is: 1. The public health arm of the United Nations. 2. Working to improve health and well -being for the global population. 3. Working with nurses to promote public health interventions. 4. All of the above. 4. The Institute of Medicine (IOM), now known as the Health and Medicine Division (HMD) of the National Academies of Sciences, Engineering, and Medicine, stated in their report, The Future of the Public’s Health, that there are three core functions that society carries out to collectively support the optimum conditions for public health. Which one of the following is not one of these functions? 1. Prevention 2. Assessment 3. Policy development 4. Assurance 5. With aging, there is an increased prevalence of both noncommunicable (chronic) and communicable disease (NCD). The most pressing issue from a public health perspective based on this increase is: 1. An increased demand for long-term care 2. An increased need for further research 3. Further exploration of the developmental stages related to aging 4. Decreased cost of medications. 6. A PHN would like to use the Dahlgren -Whitehead model to help herself and other local practitioners understand health in populations. She understands that the Dahlgren -Whitehead ecological model assumes that: 1. There are multiple determinants of health, and thus multiple strategies are needed. 2. A population and environmental approach is essential. 3. Linkages and relationships are crucial. 4. All of the above. 7. The PHN completed a community assessment and found that the obesity rate in one of the neighborhoods was higher than the other neighborhoods in the county. She suspects that this is partially due to limited access to full - service grocery stores and a lack of dedicated safe venues for exercise. Assuming her conclusion is correct, what category or categories of determinants of health would these issues within the community fall into? 1. Upstream determinants of health 2. Downstream determinants of health 3. Behavioral determinants of health 4. Genetic determinants of health 8. Two PHNs working in a large urban community notice that community members are rarely engaged in the process of planning interventions aimed at addressing a particular increase in a specific disease in the community. For their next project, they include community collaboration as an essential component of the development, implementation, and evaluation of the program. When questioned by others, they report that there is evidence that community collaboration increases effectiveness and productivity, empowers the participants, strengthens social engagement, and . 1. Decreases disease rates 2. Ensures accountability 3. Increases the availability of treatment for the targeted disease 4. Improves screening rates 9. Which one of the following scenarios is not an example of community collaboration? 1. Local service groups working to organize disaster relief for tornado victims 2. A city council passing an ordinance to stop smoking in restaurants 3. An advocacy group working with the local churches to improve health care for the indigent with mental health disorders 4. A school working with the local health department to start a school clinic 10. Which layer of government is primarily responsible for issuing quarantines during a communicable disease outbreak? 1. Federal 2. State 3. Local 4. All of the above 11. As a PHN in a small local public health department, you understand that based on federal mandates your public health department routinely performs all but which of the following? 1. Surveillance of disease at the local level 2. Investigation of disease outbreaks 3. Licensing of local hospitals 4. Quarantine 12. The PHN recognizes that environmental science, epidemiology, biostatistics, biomedical sciences, and form the foundational subjects of public health. 1. Economics 2. The humanities 3. Social and behavioral sciences 4. Anthropology 13. As defined by the World Health Organization (WHO), an example of a health promotion intervention is whereas a risk reduction/health protection intervention is . 1. Conducting a health fair; funding a school exercise program 2. Giving a free exercise class; conducting a flu vaccine outreach program 3. Providing flu medication free to older adults; a diet class for teenagers 4. Offering a tour of a hospital; a relaxation technique class 14. From a health promotion perspective, how could an occupational health nurse advise a company to encourage its employees to work towards good health? 1. Lower insurance premiums for employees who demonstrate good health habits 2. Have employee exercise classes or discounted health club memberships 3. Have incentives for healthy eating 4. All of the above 15. Diversity refers to all of but which of these concepts? 1. Race 2. Culture 3. Ethnicity 4. Environment Multiple Response Identify one or more choices that best complete the statement or answer the question. 16. Many of the emerging threats for public health are tied to increasing globalization. Which of the following reflect these globalization threats? (Select all that apply.) 1. Greater disparities between rich and poor 2. Greater need for newer technology 3. Greater distribution of tobacco and alcohol 4. Emergence or re-emergence of communicable diseases 5. Increased need for improved transportation 17. Several nurses who work in the emergency department of an urban hospital notice during the evening shift that a number of children in a certain ethnic population have all come in presenting with similar symptoms. The first step the nurses take to address the issue is which of the following? (Sele ct all that apply.) 1. Increase antibiotic therapy availability 2. Identify characteristics of the disease 3. Group patients by diagnosis 4. Notify the public health department 5. Assess the environment of the patients 18. The six standards of practice for public health nursing include which of the following? (Select all that apply.) 1. Assessment 2. Population diagnosis and priorities 3. Outcomes identification 4. Planning 5. Mitigation 19. Which of the following activities of PHNs reflect the PHN Core Competencies? (Select all that apply.) 1. Develop policy for handling a local quarantine. 2. Understand dietary restrictions when planning a program for new immigrants. 3. Create a financial plan for implementing a community level health intervention. 4. Develop a treatment plan for persons with a specific communicable disease. 5. Analyze data to determine rates of disease in the community. Chapter 1: Public Health and Nursing Practice Answer Section MULTIPLE CHOICE 1. ANS: 4 Objective: 5. Identify the key roles and responsibilities of public health nurses (PHNs). Page: Heading: Introduction to Public Health Integrated Processes: Nursing Process Client Need: Physiological Integrity Cognitive Level: Comprehension Concept: Critical Thinking, Promoting Health Difficulty: Easy Feedback 1 The approach cannot be disease based because diseases can affect populations in multiple locations, but the risk factors can be different. 2 Interventions occur after the public health event, and governments can only follow the evidence of public health studies. 3 An epidemic is an occurrence of a disease and has the same limitations as a disease -based approach. 4 PHNs assess risk for disease and other public health issues at both the individual level, so that they can intervene on a one-to-one situational basis, as well as at the population level to identify risk factors beyond the individual level and implement population -level interventions. PTS: 1 REF: 2 CON: Promot ing Health | Critical Thinking 2. ANS: 3 Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept of population health. Page: Heading: Public Health Science and Practice Integrated Processes: Nursing Process Client Needs: Health Promotion and Maintenance Cognitive Level: Knowledge Concept: Infection; Nursing Roles; Promoting Health Difficulty: Easy Feedback 1 Risk assessment is considered a part of disease prevention.