Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Community and Public Health Nursing Practices, Exams of Nursing

An overview of various concepts and practices in community and public health nursing. It covers topics such as the role of the baccalaureate-prepared nurse, community health nursing, health promotion, health-protection programs, the united states healthcare system, public health nursing, home care, and epidemiology. The document also discusses the responsibilities of public health nurses, the goals of managed care, and the principles of public health. Additionally, it covers nursing roles, community-focused nursing diagnoses, and the involvement of federal agencies like the centers for disease control and prevention (cdc) and the u.s. Department of health and human services. The document offers insights into the current state of healthcare in the united states and the strategies nurses can use to improve quality of care.

Typology: Exams

2024/2025

Available from 10/13/2024

rosemary-shayo
rosemary-shayo 🇺🇸

5

(1)

354 documents

Partial preview of the text

Download Community and Public Health Nursing Practices and more Exams Nursing in PDF only on Docsity!

CHN EXAM 1 Questions and Detailed

Correct Answers, 2024-2025.

A baccalaureate-prepared nurse is considered to be: - ANSa generalist in community/public health nursing. A community health nurse contacts the outpatient laboratory to come to the home and draw blood for a lab test that has been ordered for the client. This is an example of: - ANSmaking a referral A continuing issue in community/public health nursing practice is: - ANSproviding education to nurses employed in this specialty area. A health fair is being organized at a clinic. The nurse works directly with 10 outside organizations that will be participating in the health fair as well as with departments within the clinic. This activity best describes the nursing role of: - ANScoordinator A health-risk appraisal (HRA) is used: - ANSto develop a personal risk profile. A home care agency that meets the conditions of participation is considered to be: - ANSmedicare certified A nurse can facilitate growth of the nurse-client relationship by: - ANSlearning about the family before the home visit. A nurse demonstrates positive regard by: - ANSaccepting the family, not necessarily the family's behavior. A phenomenological community: - ANShas a relational designation. A population is defined as (select all that apply): - ANS• people residing in a particular area.

  • a group under statistical study.
  • a set of persons with common characteristics.
  • all the people in a community.
  • the public. A program objective (select all that apply): - ANS• is stated in specific terms.
  • describes specific outcomes that contribute to goal achievement. a suprasystem is: - ANSanything outside the boundary of the community. A typical nursing activity that would be performed during the initiation phase of a home visit would be: - ANSdiscussing the purpose of the visit Appraisals that focus on daily patterns of behavior that affect health are called: - ANSlifestyle assessments Community health nursing describes a: - ANSsetting for practice of nursing Conducting a windshield survey is an example of obtaining data from: - ANSpersonal observation. Demographics of the community: - ANSinclude the physical, biological, and psychosocial factors of the community. During which decade did the federal government spend an increased proportion of money on prevention activities rather than illness care? - ANS1970's Emerging infectious diseases: - ANSmay include new, previously unknown conditions. External feedback (select all that apply): - ANS• provides an opportunity for the community to adapt.
  • negotiates interchanges with its environment.
  • allows for community modification.

Florence Nightingale's work included (select all that apply): - ANS• understanding that both environmental and behavioral factors increase the risk of infectious disease.

  • proposing new ways of analyzing biostatistics about the health of the British military.
  • organizing the nurses who cared for wounded soldiers.
  • instituting reforms in sanitation, lifestyle, and data collection for monitoring disease.
  • teaching patients the importance of a varied diet. Health promotion is the process of: - ANShelping people enhance their well-being and maximize their human potential. Health-protection programs are: - ANSdirected toward preventing illness by reducing the risk of occurrence. Healthy People 2020 (select all that apply): - ANS• uses science-based information to outline the national planning process for health promotion and disease prevention.
  • uses set goals and objectives required to improve the health and well-being of the nation.
  • emphasizes increasing quality and years of healthy life as well as eliminating health disparities.
  • is based on an ecological model of health.
  • builds on plans from the previous decades. In a prospective payment model, the agency is reimbursed: - ANSbased on the anticipated cost of providing care. In order to be admitted into hospice, a client must have (select all that apply): - ANS• provided informed consent.
  • a prognosis of 6 months or less.
  • a terminal illness. In the general systems theory, an outcome is defined as: - ANScreated products, energy, and information that emerge from the system into the environment.

In which situation is the community health nurse legally obligated to intervene? - ANSA 3-year-old child has received a burn from a cigarette. It is necessary for public health nurses to be aware of global health because: - ANSworldwide travel occurs more rapidly than in previous decades Key features of the United States health care system are (select all that apply): - ANS• the free-market economy encourages a laissez-faire approach.

  • health care is provided by both private and public monies.
  • health care is delivered by private individuals, groups, or corporations. Nursing practice that is based on the principle of providing nursing care for social betterment is called: - ANSPublic health nursing Nursing's Agenda for Health Care Reform supports a health care system that provides: - ANSmore nurses as primary care providers Objectives that specify implementation activities and health care delivery that are necessary to achieve the desired changes are known as: - ANSprocess objectives One of the factors in the sociocultural environment that influences health is: - ANSoccupation One of the five basic goals of community health nursing practice in the home is: - ANSpromoting a healthful environment Poorer countries experience (select all that apply): - ANS• higher death rates.
  • shorter life expectancy.
  • a greater incidence of infectious diseases.
  • a poorer standard of health and health care.

Population-focused health planning (select all that apply): - ANS• applies a problem-solving process to a population.

  • prioritizes needs and problems.
  • details strategies to achieve outcomes. Public health nurses provide tertiary prevention when providing: - ANScase management for disabled children. Responsibilities of an epidemiologist in a health department are to (select all that apply): - ANS• explore the causes of a measles outbreak in the community.
  • predict health hazards in the community.
  • evaluate the interventions used in managing a measles outbreak. Revenues coming from local sources primarily come from: - ANStaxes or a levy The Bismarck model can be described as a health care system that: - ANSis funded by both personal contributions and taxes. The disadvantages of home care are that it (select all that apply): - ANS• is less efficient than hospital or clinic-based care.
  • is costly in terms of travel costs.
  • presents with distractions such as television and noisy children.
  • may compromise the nurse's safety. The first visiting nurses in the United States: - ANSprovided material relief and care for sick persons. The health-belief model states that individuals will: - ANStake action to avoid disease because of perceived susceptibility to the disease. The Healthy People website can track which type of objectives (select all that apply)? - ANS• Measurable
  • Developmental

The home care provider who is primarily responsible for the personal care needs of the client, including grooming and bathing, is the: - ANShome care aide The identified group or aggregate in which change is desired as the result of a program or intervention is the: - ANSTarget population The nation's primary health statistics site is the: - ANSNational Health Care Survey (NHCS). The primary health care model: - ANSfocuses on health care for all members of the community. The process in which one group of people feels oppressed and seeks redistribution of power, resources, or decision making in the community is called: - ANSsocial action The process of assisting others to uncover their own inherent abilities, strengths, vigor, wholeness, and spirit is called: - ANSempowerment The Public Health Nursing: Scope and Standards of Practice: - ANSdefines public health professional nursing practice in all settings. The three critical components of a community are (select all that apply): - ANS• people.

  • place.
  • social interactions. What can a nurse do to promote safety when performing home visits (select all that apply)? - ANS• Carry an identification badge and wear a name pin.
  • Determine the safest times to visit.
  • Ask for specific directions to the home. What is one of the goals of managed care? - ANSlower the cost of healthcare

What is the best global indicator of child health? - ANSmalnutrition What is the first step of a community assessment? - ANSIdentify the boundaries of the community. What percentage of the total health care budget is spent on public health services? - ANS1%-4% What steps can clients take in the home to prevent the development of infectious disease (select all that apply)? - ANS• Keep a clean kitchen and bathroom.

  • Maintain an optimal nutrition status.
  • Avoid cleaning birdcages and cat litter boxes.
  • Maintain daily personal hygiene.
  • Use a soft toothbrush after every meal. What was the focus of public health nursing practice in the early 1900s? - ANSPublic hygiene measures When a nurse assesses a community in relation to a specific health problem, the nurse is using a: - ANSproblem-oriented approach. When a nurse meets with legislators about improving health care reimbursement for Medicare recipients, the nurse is providing: - ANSindirect community/public health nursing. When resources are distributed to provide the greatest good for the greatest number with the least amount of harm, it is called: - ANSutilitarian justice. When should evaluation planning begin? - ANSAfter goals are established Which activity would be completed by a generalist nurse working in home care? - ANSProviding direct care to clients Which activity would the Centers for Disease Control and Prevention (CDC) be involved in? - ANSMonitoring an outbreak of measles in a community

Which client would be considered homebound as defined by Medicare? - ANSA client who attends adult daycare for the purpose of receiving medical care Which community-focused nursing diagnosis is stated correctly? - ANSIneffective community coping related to recent tornado as evidenced by several hundreds of residents who are homeless and have no source of shelter Which disease has been eradicated worldwide? - ANSSmallpox Which federal agency has the most health-related responsibilities? - ANSU.S. Department of Health and Human Services Which federal program's goal is to support comprehensive health assessment services, appropriate education and counseling, referrals, and follow-up for pregnant women and their infants and children? - ANSMaternal/Child Health Block Grant Which health department would have the responsibility for providing direct health care services? - ANSClayton County Health Department Which intervention best demonstrates how nurses can participate in global health? - ANSVolunteering with international organizations Which intervention has been effective in helping prevent the spread of HIV in developing countries? - ANSVoluntary counseling and testing Which is a characteristic of a healthy community? - ANSlow crime rate Which is an example of a direct care service - ANSattending PT Which is an example of private funding for health care? - ANSinsurance payment

Which level of government has the primary responsibility for meeting the public health needs of its residents? - ANSState Which level of prevention is used when preventing disability, complications, and death from disease? - ANStertiary Which nursing organization contributed to improving the health of women and children in the underserved, rural area of Kentucky? - ANSFontier Nursing Service Which nursing role is being used when a nurse develops and coordinates a plan of care for a family? - ANScase management Which plan for improving the health of communities attempts to engage an entire community in a comprehensive assessment of their health needs? - ANSPlanned Approach to Community Health (PATCH) Which principles are considered commitments of public health specifically (select all that apply)? - ANS• Equitable, just distribution of health care to all

  • Support of the health and well-being of all persons
  • Ensuring a healthful physical environment Which source of data could be used to identify the goals of a geopolitical community? - ANSInterview key informants. Which statement about community/public health nursing is correct? - ANSCommunity-based care refers to nursing care provided outside an institution. Which statement about Healthy People 2020 goals is accurate (select all that apply)? - ANS• One of the main goals of Healthy People 2020 is to help prevent disease.
  • Healthy People 2020 strives to achieve health equity.
  • Healthy People 2020 promotes quality of life.
  • Healthy People 2020 strives to decrease injury and preventable death.
  • Healthy People 2020 promotes healthy social environments. Which statement about nurse-family relationships in the home setting is correct? - ANSMutual goals should be emphasized to achieve long-term success. Which statement best describes a single-payer system? - ANSHealth care is financed by tax dollars through the government. Which statement best describes the current health care system in the United States? - ANSthe healthcare system is in a state of transition Which statement best describes the role of the World Health Organization (WHO)? - ANSIts emphasis is to provide health care services and support to poor countries. Which statements about state health agencies (SHA) are correct (select all that apply)? - ANS• The majority of state health departments have freestanding, independent health agencies.
  • The chief executive of the state health agency (SHA) usually is appointed by the state's governor.
  • State budgets for public health activities have been decreasing.
  • Some states require a physician to serve as health officer.
  • The SHA assists, delegates to, and/or oversees local health departments. Which statements best describe the current state of health care in the United States (select all that apply)? - ANS• The cost of health care continues to increase.
  • There is an increasing amount of consumer awareness.
  • Competing philosophies have created changes that have caused conflict. Which strategy can be used to promote asepsis in the home? - ANSDouble-bag waste material that is contaminated with blood or body fluids before disposal. Which strategy can nurses use to assist with improving quality care - ANSprovide information to educate consumers

Which strategy should be used when implementing a large program in which a multitude of resources are needed? - ANSphasing Which tool uses community-wide strategic planning in long-term planning of population-based health care? - ANSMobilizing for Action through Planning and Partnerships (MAPP) model Which type of home care agencies are governed by a volunteer board of directors and supported primarily with nontax funds and reimbursements from third-party payers? - ANSvoluntary agencies Who is considered a consumer of a home health care agency? - ANSclient receiving care Who is known as the founder of district nursing - ANSWIlliam Rathbone Who is responsible for determining the frequency and duration of client care? - ANShome health care nurse