Deck 46: Public Health Nursing at Local, State, and National Levels

Question 1

After reviewing the objectives of Healthy People 2020,the PHN determines the focus for the programming for communicable diseases in the community.Which of the following would the nurse most likely select as the focus?

A) Encouraging community members to engage in healthy behaviors
B) Identifying high-risk sexual behaviors among community members
C) Monitoring the sexual activity of adolescents
D) Providing information about the hazards of multiple sexual partners

Answer 1

Providing information about the hazards of multiple sexual partners

Question 2

What is the goal of local public health departments?

A) To monitor communicable diseases
B) To improve the health status of communities
C) To offer services for the uninsured
D) To enforce environmental codes and laws

Answer 2

To improve the health status of communities

Question 3

A nurse is providing information about safe-sex practices.Which of the following levels of prevention is being implemented?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Answer 3

Primary prevention

Question 4

Which principles are included in the Scope and Standards of Public Health Nursing Practice? (Select all that apply.)

A) The client or "unit of care" is the population.
B) Primary prevention is given priority.
C) All processes must include partnering with representatives of the people.
D) Government agencies mandate requirements for public health.
E) The focus of many interventions should be on secondary prevention.

Question 5

Which is an example of a federal agency? (Select all that apply.)

A) The U.S. Department of Health and Human Services (USDHHS)
B) The Centers for Disease Control and Prevention (CDC)
C) The Health Resources and Services Administration (HRSA)
D) The Pentagon
E) The Congress

Question 6

Which event has the potential to weaken existing public health programs?

A) The shift in funding to support bioterrorism response efforts
B) The outbreaks of H1N1 influenza
C) The number of citizens with human immunodeficiency virus (HIV)
D) The lack of PHNs

Question 7

A nurse is providing services for uninsured women.Which of the following best describes the role that the nurse is using?

A) Role model
B) Primary caregiver
C) Outreach worker
D) Case manager

Question 8

Which agency delegates the authority of the local health department?

A) The federal government
B) The state
C) Local authorities
D) Regional governing boards

Question 9

A PHN is working with uninsured individuals.Which of the following is the most appropriate action for the nurse to take?

A) Providing direct care for this population in times of acute illness
B) Advocating for federal policy changes for this population
C) Assisting this population to access necessary health care services
D) Encouraging lifestyle changes for this population

Question 10

Which is a principle of good practice for community partnerships?

A) Partnerships are easily formed among those working in public health.
B) Partnerships use their own roles to accomplish tasks.
C) Partnerships are built on identified strengths and assets.
D) Partnerships are loose associations among people.

Question 11

A nurse is implementing secondary prevention strategies in the community.Which of the following best describes what the nurse is doing?

A) Screening children for lead poisoning
B) Working with communities on emergency preparedness plans
C) Developing social networking interventions to modify community norms
D) Educating patients with strokes at rehab centers to help optimize their functioning

Question 12

A PHN collaborates with agencies to address the problem of obesity in the community.Who would be the most appropriate people to include in this collaborative partnership? (Select all that apply.)

A) Local health department staff members
B) Restaurant owners
C) Parks and recreation department staff members
D) Church representatives
E) Appliance store managers

Question 13

A nurse is implementing tertiary prevention strategies in the community.Which of the following best describes what the nurse is doing?

A) Providing immunizations
B) Conducting lead screening activities for children
C) Providing case management services for clients with chronic illness
D) Identifying and treating clients in a tuberculosis (TB) clinic

Question 14

A PHN is involved in disaster planning.Which of the following best describes why this is important?

A) To be most effective as a disaster responder
B) To anticipate the potential disasters that may occur
C) To educate the public about their responsibilities if a disaster occurs
D) To demonstrate the importance of community partnerships

Question 15

A PHN discusses with a client which services are appropriate to meet her needs.Which of the following best describes the role that the nurse is using?

A) Case manager
B) Advocate
C) Counselor
D) Role model

Question 16

A PHN assists a client in identifying the services needed the most at the least cost.Which of the following best describes the role that the nurse is using?

A) Role model
B) Advocate
C) Counselor
D) Case manager

Question 17

A nurse is working in a public health department.Which of the following would most likely be the focus of the care that is provided?

A) Home visiting and hospice care
B) Care of communicable diseases
C) Health maintenance and health promotion
D) Illness prevention

Question 18

A nurse considering working as a PHN refers to the American Public Health Association (APHA)Public Health Nursing Section to determine what level of educational preparation has been recommended.Which of the following best describes the educational preparation?

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

Question 19

The PHN aims to change behaviors such as poor hand washing skills and unsafe sex practices.Which of the following best describes the role that the nurse is using?

A) Case manager
B) Advocate
C) Educator
D) Role model