Question 1

When searching for literature to answer a clinical question about the effectiveness of an intervention, which type of evidence would the public health nurse look for first:&#10;A) Systematic reviews&#10;B) Recommendations by expert panels&#10;C) Clinical trials&#10;D) Case studies

Accepted Answer

Systematic reviews are considered the highest level of evidence as they summarize the results of multiple studies, providing a comprehensive overview of the effectiveness of an intervention.

Question 2

The public health nurses knows that one of the most important components of an evidence-based approach to practice is:&#10;A) Asking colleagues their opinion about a clinical issue&#10;B) Critically appraising the evidence on a clinical question&#10;C) Referring to up-to-date textbooks&#10;D) Using protocols obtained from health care agencies

Accepted Answer

Critically appraising the evidence on a clinical question is the most important component of an evidence-based approach to practice because it allows the nurse to determine the best course of action for a patient based on the most up-to-date and reliable evidence.

Question 3

Health literacy has an impact on a client's ability to:&#10;A) Form a relationship with a provider&#10;B) Form better family relationships&#10;C) Safely self-administer medications&#10;D) To speak with a provider

Accepted Answer

Health literacy directly affects a client's ability to understand and follow medical instructions, including safely self-administering medications.

Question 4

Public health experts consider Health Literacy to be a significant problem in the United States. Which is an example of evidence of this concern?&#10;A) Health Literacy websites found on the Internet that support reading.&#10;B) Healthy People 2020 included Health Literacy as an Objective.&#10;C) Elementary schools teach health classes.&#10;D) High schools stopped selling soft drinks.

Accepted Answer

Healthy People 2020, a national health promotion and disease prevention initiative, included Health Literacy as an objective, highlighting its importance and the need to address it as a public health issue.

Question 5

The following is an example of how low health literacy directly impacts a person's health.&#10;A) A client does not understand the preparation sheet for colonoscopy and the test needs to be rescheduled.&#10;B) A client does not like the side effects of medications and discontinues taking them.&#10;C) A client takes their friend's medication because they can't afford to fill their own prescription.&#10;D) A client walks to the health center instead of taking the bus.

Accepted Answer

Low health literacy can lead to misunderstandings of medical instructions, such as preparation sheets for procedures, resulting in the need to reschedule tests.

Question 6

Research studies have shown that low health literacy has been shown to directly
Influence:

A) The incidence of hypertension
B) The control of blood sugar levels in persons with diabetes
C) The number of specialists involved in client care
D) Patient satisfaction with their health care provider

Accepted Answer

Low health literacy can directly affect a patient's ability to manage their health conditions, such as controlling blood sugar levels in diabetes, due to challenges in understanding medical instructions and health information.

Question 7

Health issues can be worsened by exposure to second hand smoke in children?&#10;A) asthma&#10;B) respiratory infection&#10;C) hearing loss&#10;D) all the above

Accepted Answer

Secondhand smoke can exacerbate asthma, increase the risk of respiratory infections, and contribute to hearing loss in children.

Deck 6: Evidence-Based Practice From a Public Health Perspective