University of San Francisco - NURS 320

Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition

MULTIPLE CHOICE

1)Which of the following is the underlying science or area of study on which public health is based?

1. 1. Biostatistics
   2. Epidemiology
   3. Medicine
   4. Social sciences

2. A nurse is employed at the state department of public health. Which of the following is a fundamental principle guiding his practice?
   1. Decisions are made at the federal level, disseminated at the state level, and carried out at the community level.
   2. Health of populations is only as good as the health of individuals that live and work in the community.
   3. Oversight of community health departments is the most important function.
   4. The interaction of the local-state-federal partnership is critical to success.

3. The public health administrator is in the process of hiring a new public health nurse. Which of the following statements made by an applicant would most likely result in the applicant not being hired?
   1. “I like to be the only person working on a project because individuals in teams have their own ideas and plans and the resulting debate slows progress.”
   2. “I prefer to work in teams because no single person has too much responsibility because the burden is shared.”
   3. “Teamwork is better than work done by individuals because teamwork incorporates different perspectives.”

1. 4. “Whether teamwork is better than work done by individuals depends on the nature of the work being performed.”

4. Which of the following federal agencies is most influential in public health activities?
   1. The Agency for Healthcare, Research, and Quality
   2. Centers for Disease Control and Prevention
   3. Department of Health and Human Services
   4. Food and Drug Administration

5. Which of the following agencies are responsible for implementing and enforcing local, state, and federal public health codes and ordinances and providing essential public health programs to a community?
   1. Community health clinics
   2. Federal health agencies
   3. Local health agencies
   4. State health agencies

6. A nurse at a migrant clinic assists clients with completing the application process to receive supplemental food assistance. Which of the following roles of the nurse is being used?
   1. Advocate
   2. Case manager
   3. Outreach worker
   4. Primary caregiver

7. Which of the following best describes the primary reason life spans have notably lengthened over the past 100 years?
   1. Advances in hospital care and procedures
   2. Advances in medicine and medical research
   3. Advances in nursing practice
   4. Advances in public health

8. Which of the following best describes how public health nurses (PHNs) differed from other health care professions in the early twentieth century?
   1. PHNs contributed without receiving any salary for doing so.
   2. PHNs created new settings where health care could be given.
   3. PHNs gave care to powerless raps         
   4. PHNs worked outside any organized health care system.

9. Which of the following best describes the role of nursing in community health?
   1. Application of nursing and public health theory in promoting, preserving, and maintaining health of individuals, families, or communities
   2. Health care provision offered in primary and secondary institutions or in the client’s home
   3. Provision of health care services in institutions located in the community but outside the hospital
   4. Use of the nursing process and evidence-based practice to meet Healthy People 2020 objectives for community health improvement

10. A community health nurse is trying to decrease the incidence of emerging infections caused by drug-resistant organisms. Which of the following actions would be most appropriate for the nurse to implement?
    1. Lobby for increased use of antibiotics in the treatment and prevention of communicable diseases.
    2. Notify the Centers for Disease Control regarding any unusual signs and symptoms related to a communicable illness.
    3. Reinforce the importance of receiving vaccinations according to recommended schedules.
    4. Teach parents that antibiotics should not be used for treatment of viral infections or for prevention of bacterial infections.

11. A nurse is considering applying for a public health nurse position at a local health department. Which of the following minimum levels of educational preparation should the nurse have obtained?
    1. Associate degree in nursing
    2. Baccalaureate degree in nursing
    3. Master of science degree in nursing
    4. Training as a licensed practical nurse

12. A public health nurse has reviewed the objectives of Healthy People 2020. Which of the following should be the focus for programming in the community related to communicable diseases?
    1. Encouraging community members to engage in healthy behaviors
    2. Identifying high-risk sexual behaviors among community members
    3. Monitoring the sexual activity of adolescents
    4. Providing information about the hazards of multiple sexual partners

13. Which of the following is a core competency required of public health nurses?
    1. Knowledge in the use of high-technology diagnostics
    2. Knowledge of the implementation of electronic medical records
    3. Skill in the physical assessment of complex clients
    4. Skill in developing policy and planning programs

14. Which of the following factors is causing nursing to change so quickly?
    1. Economic issues
    2. Increases in medical and nursing knowledge
    3. Legislative issues
    4. Technology changes

15. A nurse is implementing a primary prevention activity to decrease the incidence of communicable disease. Which of the following actions is the nurse most likely taking?
    1. Identifying and treating clients in a sexually transmitted disease clinic
    2. Partnering with schoolteachers to teach and observe hand washing techniques in elementary school children

1. 3. Providing case management services that link clients with communicable diseases to health care and community support services
   4. Performing directly observed therapy (DOT) for clients with active tuberculosis

16. A public health nurse traces sexual contacts of clients with sexually transmitted diseases for screening and treatment. Which of the following levels of prevention is being implemented?
    1. Primary prevention
    2. Secondary prevention
    3. Tertiary prevention
    4. Secondary and tertiary prevention

17. A community mental health nurse is implementing a tertiary prevention activity. Which of the following interventions is most likely being completed?
    1. Disseminating information about mental health to community organizations
    2. Partnering with school health nurses for early identification of children who have evidence of mental health problems
    3. Providing case management services that link clients with serious mental illnesses to mental health and community support services
    4. Screening high-risk clients for the presence of mental disorders

18. A nurse is working at a local health department. Which of the following would most likely be completed by this agency?
    1. Enforcement of laws and regulations related to public health nationwide
    2. Filing of a certificate for any birth or death in a community
    3. Providing experts in various specialties to answer questions and respond as needed
    4. Surveying the state’s public health needs

MULTIPLE RESPONSE

1. A nurse is employed by a state public health department. Which of the following functions would most likely be completed by this agency? (Select all that apply.)
   1. Delegating power to engage in certain activities such as quarantine
   2. Enforcing laws and regulations that protect public health
   3. Filing birth and death certificates whenever these occur within the state
   4. Monitoring health status of citizens within its geographic boundaries

2. Which of the following activities are addressed by most public health departments on the federal, state, and local levels? (Select all that apply.)
   1. Collecting and analyzing various health statistics
   2. Fining and terminating business at any facility that engages in unsafe commercial practices
   3. Identifying and planning for high-risk populations
   4. Planning for and responding to emergencies