Question 1

Jacob has worked as a PHN in urban areas and has just now moved to a rural area and taken a job in the public health department in charge of county outreach programs. Based on data he recently reviewed from the Federal Office of Rural Health Policy, the following might be programs he should consider except:

Accepted Answer

B

Question 2

A nurse is looking to develop a coalition of women's health providers and experts in the community. Which of the following strategies would be effective in helping to build a coalition? (Select all that apply.)

Accepted Answer

Creating detailed objectives and activities, addressing diversity, mapping assets, and maintaining and evaluating the coalition are effective strategies for building a coalition. Convening before drafting a mission statement is not typically effective.

Question 3

A nurse is working in a family planning clinic that provides treatment for sexually transmitted infections (STIs). The nurse has noticed a significant increase in the incidence rate of STIs in the young women being seen at the clinic and wonders if this is a community-wide problem. Which of the following techniques would be a helpful first step in answering her question?

Accepted Answer

Collaborative relationships with other health-care providers in the area concerned with STIs would provide the nurse with a broader perspective on the incidence rate of STIs in the community.

Question 4

A nurse is considering entering the specialty of parish nursing. Nurses working in this field perform which of the following activities specific to that of a parish nurse?

Accepted Answer

The answer of A nurse is considering entering the specialty...

Question 5

Nurses at a large urban medical center have noticed that the number of patients with type 2 diabetes being seen at the diabetes clinic with uncontrolled A1C has increased. They have decided to conduct a focused assessment. Which factors specific to the urban environment might be an issue for their population? (Select all that apply.)

Accepted Answer

The answer of Nurses at a large urban medical center...

Question 6

A nurse has been volunteering at a free clinic located at a community center in a rural area twice a month for several years. Over the last few months, the nurse has noticed that the patient load has increased substantially as the population of this community has aged. It is not feasible for the nurse to spend more time at this center. What might be the most feasible action she could take to continue to serve the needs of the community?

Accepted Answer

Telehealth arrangements allow nurses to provide care remotely, which can be a feasible solution when it is not feasible to increase the nurse's time at the clinic.

Question 7

A nurse is working with several community members in an inner-city environment to help address broken windows and damaged buildings in their community. They've had several residents volunteer to form a group that will repair the damages and keep the community looking well cared for. This is an example of:

Accepted Answer

Community organization involves mobilizing community members to address issues and improve their environment, as seen with the residents volunteering to repair damages.

Question 8

A nurse is performing an assessment of a community where the population totals 55,542 persons and has a population density of 1,000 persons per square mile. How does the nurse classify the area?

Accepted Answer

The population density of 1,000 persons per square mile classifies the area as an urbanized area.

Question 9

A nurse is working on his or her first community-based participatory research (CBPR) study. An essential factor specific to CBPR research that the nurse should be careful to address is:

Accepted Answer

CBPR emphasizes collaboration with community members, ensuring that the research benefits the community and addresses their needs and concerns.

Question 10

A young college student in a rural community has called the health department to get a recommendation for a health center where she could be seen for a chronic health problem. She is uninsured and can't afford the private clinic in town. The PHN recommends that the student:

Accepted Answer

Community health centers often provide care on a sliding scale based on income and are designed to serve uninsured and underinsured populations, making them a suitable option for the student.

Question 11

For the PHN working in a large urban public health department, what are possible health issues facing the population as a whole? (Select all that apply.)

Accepted Answer

The answer of For the PHN working in a large...

Question 12

A nurse is looking to address teen gang violence in a nearby community using the principles of community organizing. The nurse has spent a great deal of time in the community performing a community assessment and getting to know residents and key stakeholders. What is the next step?

Accepted Answer

The next step in community organizing after assessment and relationship building is to identify core leaders who can help mobilize and organize the community around the main issue.

Question 13

A public health nurse (PHN) has been tasked with addressing the rise in teen pregnancies in her communities. She wishes to create linkages among agencies that provide care to teens and/or obstetrical care generally. Which would be her first step based on the six-step guide created by The Center on Education and Training for Employment at The Ohio State University?

Accepted Answer

The first step in the six-step guide is to assess the need to work in partnership with other agencies.

Question 14

A student nurse is reviewing important global communities for ideas about a final research project. The student nurse discovers a movement in Europe that focuses on reducing health disparities and involving the local community in program design and implementation. What program does this describe?

Accepted Answer

The "Healthy Cities" program is a European movement that aims to reduce health disparities and involves local communities in the design and implementation of health programs.

Question 15

A nursing professor is looking to give students clinical experience in relation to health program planning with a focus on implementation. The professor proposes which of the following projects to the curriculum committee?

Accepted Answer

Placement of students in a local community center for population-level health interventions provides practical experience in health program planning and implementation, aligning with the professor's focus.

Question 16

A nurse is reviewing top 10 priorities from Rural Healthy People 2020 National Survey. Which of the following is not one of the top 10 priorities?

Accepted Answer

Cancer is not listed as one of the top 10 priorities in the Rural Healthy People 2020 National Survey. The focus is more on access to services, chronic diseases like diabetes, and mental health.

Question 17

The state public health department in a large northern state has convened a task force to help optimize the health of the populations living in the state's rural communities by addressing major barriers to promoting optimal health in those rural communities. Which of the following is a major barrier? (Select all that apply.)

Accepted Answer

The answer of The state public health department in a...

Question 18

A nurse is moving to a rural area and beginning work at a health clinic there. The nurse is performing a basic community assessment to prepare for working with this new community. The nurse knows that which of the following is not characteristic of the needs of the rural population?

Accepted Answer

Rural populations often face challenges such as limited access to healthcare, higher rates of poverty, and lower education levels, which can contribute to lower life expectancy, not higher.

Question 19

A nurse is speaking with members of a community center about using community organization as a process for change. The nurse explains that there are several specific principles for creating change within the community. Which of the following are examples of these principles? (Select all that apply.)

Accepted Answer

These principles are all examples of principles for creating change within a community. Nonviolence is a tool that can be used to create change without causing harm. Downstream assessment principles can be used to identify the root causes of problems in the community. Increasing the community's decision-making ability can help to ensure that the community has a say in the changes that are made. Aiming to minimize social and economic disparities can help to create a more just and equitable community.

Quiz 16: Health Planning With Rural and Urban Communities