Ricardo, a public health registered nurse, is conducting a community health assessment of Waltham, Massachusetts

Ricardo, a public health registered nurse, is conducting a community health assessment of Waltham, Massachusetts. Which of the following data collection methods is Ricardo using when having direct conversations with individual members of the Waltham community?
Key informant interview
Participant observation
Windshield survey
Health survey

Kiana, a new graduate registered nurse, is hired by the local hospital to help conduct the hospital’s community health needs assessment and prepare the written assessment report. India begins gathering initial assessment data about the look and feel of the communities that the hospital serves by performing which kind of assessment data collection?
Windshield or walking surveys
Key informant interviews
Focus groups
Participant observations

Student nurse Jin and their team have chosen East Boston Neighborhood Health Center as their community to assess. Which of the following steps must Jin and their team complete next in the community assessment process? community to assess?
Identify the community problem(s).
Write the nursing diagnosis for the community care plan.
Gather necessary assessment data.
Evaluate the care plan interventions that were implemented.

Community residents report traveling long distances in order to receive healthcare services. As a result, some residents report only receiving healthcare services for severe or life-threatening emergencies. Which of the following U.S. healthcare concerns does this situation represent?
Safety of care
Access to care
Quality of care
Cost of care
___________________________________________________________________________________________

Module 2: Public Health Foundations and Population Health (Chapter 1)

A community health nurse provides clinic-based services to pediatric patients with advanced HIV living in the community. Which term best describes this activity?
a.

Primary prevention

b.

Health education

c.

Tertiary prevention

d.

Policy making

List and briefly define the three (3) core functions of public health.

a.

b.

c.

7. One of the core public health functions is assessment of the health status of a community. Which of the following questions would be asked in the assessment phase?

a.

What programs are available to reduce the risk of cardiac disease in the population?

b.

What educational materials are needed to inform the community about environmental risk factors?

c.

What is the prevalence rate of hypertension about various age, race, and gender groups in the community?

d.

What types of public transportation are needed in the community to ensure access to services?

8. Which statement would indicate successful implementation of the Affordable Care Act (ACA)?

a.

Americans will play closer attention to their health status.

b.

Most of the population will be covered by health insurance.

c.

Public health departments will need to increase the number of nursing positions.

d.

The prevalence of obesity will decrease.

9. A school health nurse establishes an interpersonal violence education program for high school students. Which of the following best describes establishment of this program?

a.

Primary prevention

b.

Secondary prevention

c.

Tertiary prevention

d.

Primary health care

10. Joseph, a community-based registered nurse, would be most likely responsible for completing which of the following?

a.

Assessing the health needs of a community

b.

Providing care to individuals in a community

c.

Promoting the health of an entire community

d.

Investigating occupational health hazards in a community

11. Rosalina is a student nurse on her community health rotation. She is working with a registered nurse providing care in a rural health clinic. The clinic serves a large population of migrant workers and young families. The majority of the clientele speaks Spanish, which is Rosalina’s primary language. During her time in the rural health clinic, Rosalina learns that access to health care is a concern due to cost and transportation. Another issue among the migrant population is continuity because workers tend to move according to seasonal farm work.

The public health nursing care that Rosalina would expect to experience in the rural health setting includes which of the following? Select all that apply.

a.

Nursing care which is culturally diverse and appropriate to the needs of the community.

b.

Treatment aimed at preventing illness and promoting wellness.

c.

Education aimed at behavioral and mental health issues as well as substance abuse prevention.

d.

Nursing care provided within guidelines for Medicare funding.

12. A community health center offers free COVID-19 screening tests to area residents. Which level of prevention is being employed?

a.

Primary prevention

b.

Secondary prevention

c.

Tertiary prevention

d.

Quaternary prevention

13. Development of a hospice care program in the community is an example of which strategy?

a.

Primary prevention

b.

Secondary prevention

c.

Tertiary prevention

d.

Primary care

________________________________________________________________________________________

Module 2: History of Public Health and Public and Community Health Nursing (Chapter 2)

14. The local public health department provides community health nursing services in a county population of 25,000 residents. The goal is to provide health promotion, surveillance, and disease prevention services to the residents of the county. The primary nurse at the public health department is preparing to offer an influenza vaccination clinic, which is being held at the mall. She has arranged to have several volunteer nurses assist with the effort and is expecting to treat approximately 1,000 individuals.

Public health nursing emphasizes prevention of disease. What are the challenges associated with such a goal? Select all that apply.

a.

Increased costs and decreased funding

b.

It is easier to measure the effects of prevention

c.

It is more difficult to measure the effects of prevention than the effects of treatment

d.

Emerging communicable diseases continue to be a health threat

15. A community health nurse is determining which type of programming should be developed for the community. Which of the following is the most crucial factor that will influence program development?

a.

Comprehensive assessment and planning done in the community

b.

Documented needs of the local community

c.

Federal funding for priority diseases or groups

d.

Nursing staff’s expertise and skills

16. The Elizabethan Poor Law of 1601, enacted in England and Wales and later adopted by early American settlers, provided the policy framework for which of the following medical care programs?

a.

Food stamps

b.

Welfare

c.

Medicaid

d.

Medicare

17. A graduate of the New York Training Hospital for Nurses, progressive reformer and nurse Lillian Wald is credited with which major public health contribution of 1893?

a.

Establishment of the Henry Street Settlement

b.

Creation of the Public Health Service

c.

Founding of the American Nurses Association

d.

Founding of the National Organization for Public Health Nursing

18. A 67-year-old female recently retired and no longer receives health insurance through her former employer. Which of the following would be appropriate for her health needs?

a.

Medicare

b.

Medicaid

c.

Social Security

d.

Economic Opportunity Act

____________________________________________________________________________________

Module 3: Public Health, Primary Care, and Primary Health Care Systems (Chapter 3)

19. A public health nurse is reviewing the screening guidelines for early detection of lead poisoning in pediatric patients ages one to five (1-5). Which document would most likely provide useful information about this topic?

a.

The Future of Public Health

b.

Healthy People 2020

c.

Patient Protection and Affordable Care Act

d.

Institute for Healthcare Improvement

20. According to the 1999 Institute of Medicine report, as many as 98,000 deaths each year could be attributed to what cause?

Cardiovascular disease
Obesity
Medical error
Drug overdose

21. Which federal agency included in the public health system is most involved with the health and welfare of United States citizens?

Centers for Medicare and Medicaid Services
U.S. Department of Health and Human Services
U.S. Public Health Service
Health Resources and Services Administration

22. Which of the following statements is true?

a.

The poor are more likely to receive health care through private agencies
b.

The poor in the United States are as healthy as persons with higher incomes.
c.

Millions of people in the United States are without health insurance.
d.

Persons with money or health insurance are less likely to seek care.

________________________________________________________________________________________

Module 3: Economics of Health Care Delivery (Chapter 5)

23. Which of the following categories accounts for the largest percentage of U.S. healthcare spending? Hint: Review your textbook’s Nation’s Health 2016 pie chart for spending percentages.

Prescription drugs
Hospital care
Physician services
Public health services

24. An 80 y/o female comes to the local comprehensive primary care clinic with a large bag of medications. She tells the nurse that she can no longer afford these medications, because her only income is Social Security. Which statement is the best response by the nurse?

a.

“Let’s go through these medications and see which ones we can delete.”
b.

“You can get these medicines at this clinic for free.”
c.

“Let’s see if we can get some help from Medicare to help you pay for these medications.”
d.

“These medications are important. Do your best to pay for them.”

25. Which of the following payment methods for delivery of healthcare services attempts to limit uncontrolled spending and costs? Select all that apply.

a.

Prospective reimbursement
b.

Retrospective reimbursement
c.

Capitation
d.

Fee-for-service

26. Which of the following statements regarding Medicare and Medicaid is correct?

a.

Two federal programs that provide insurance to qualifying groups
b.

Available to any United States citizen who wishes to enroll
c.

A person cannot qualify for both programs at the same time
d.

Are defined as private insurance providers

_____________________________________________________________________________________

Assorted Related Content

27. Imagine that you are a registered nurse newly employed at a tertiary care facility. Is it possible to include the three levels of prevention while providing care to patients at a tertiary care facility? Briefly explain. Be specific.

Answer:

28. A visiting nurse makes a home visit to a patient. The patient’s chart reveals a recent physician order for Synthroid 75 mcg PO daily. The pharmacy filled the patient’s Synthroid prescription as 0.15 mg tab (scored). How may tablets will the nurse instruct the patient to take daily?

Answer:

29. A 48-year-old female with a history of uncontrolled asthma presents to the urgent care community clinic with a heart rate of 120, respiratory rate of 48, oxygen saturation of 84%, and mild hemoptysis. The registered nurse should give priority to:

Obtaining a full health history
Administering oxygen
Obtaining additional vital signs
Checking arterial blood gases

Complete Answer:

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