Question 1

A nurse is employed by a local public health department and provides direct care services to clients in the community.Which of the following payer sources is likely to be responsible for reimbursing for this care? (Select all that apply.)

Accepted Answer

Many nursing services providing direct care have a service fee.A sliding fee scale is used to determine what percentage of the fee the client will pay on the basis of the client's financial assets.If the client has a third-party payer,such as Medicare,Medicaid,or private insurance,some departments will bill that source or provide the client with a receipt to file for reimbursement.Legislative appropriations and state health agencies may pay for programming at the local level;however,most of these funds are not used for direct care services.

Question 2

A nurse has recently been hired to work as a public health nurse at a local health department.She wonders what her role will be in this new setting.Which of the following documents would provide this information?

Accepted Answer

The American Nurses Association publishes a Scope and Standards of Practice for most clinical specialties.The scope and standards provide guidance and define and direct public health professional nursing practice in all settings,including the role of the advanced-practice public health nurse.The ANCC offers specialty certification in advanced public health nursing;however,these criteria do not describe the role of the public health nurse.The state nurse practice act outlines nursing practice in the state,but it is not specific to the public health setting.The Future of Public Health indicated public health functions were poorly focused and the public health infrastructure was inadequate.It noted changes that should be made in the future.

Question 3

Which of the following changes have occurred in public health since 1990? (Select all that apply.)

Accepted Answer

In response to the Institute of Medicine report titled The Future of Public Health,there has been an emphasis on population-based care and the development of coalitions and partnerships to provide health care.Fears about terrorism and possible biologic infections have led to improvements in surveillance.Primary care is being increasingly referred to various managed care providers and is not a priority of local health departments.Thus,most local health departments no longer collect Medicaid fees.Emergency preparedness is federally mandated,but no federal funds were forwarded to the states in order to achieve preparedness.

Question 4

Which of the following activities is a public health nurse most likely to be involved in during the twenty-first century?

Accepted Answer

Public health nursing is more effective when problems are approached in collaboration with other agencies.The trend is toward development of numerous and diverse health-related partnerships and this activity is recommended in the Institute of Medicine's report The Future of Nursing.

Question 5

A public health nurse is assessing the health of the community and planning appropriate public health interventions.Which of the following models could the public health nurse use? (Select all that apply.)

Accepted Answer

PACE-EH,MAPP,and the Minnesota Interventions Wheel are frequently used.Leininger's Cultural Beliefs in Practice model,Neuman's Adaptation of Systems model,and the Quad Council's Public Health Nursing model do not exist.

Quiz 29: State and Local Health Departments

A nurse is employed by a local public health department and provides direct care services to clients in the community.Which of the following payer sources is likely to be responsible for reimbursing for this care? (Select all that apply.)

A nurse has recently been hired to work as a public health nurse at a local health department.She wonders what her role will be in this new setting.Which of the following documents would provide this information?

Which of the following changes have occurred in public health since 1990? (Select all that apply.)

Which of the following activities is a public health nurse most likely to be involved in during the twenty-first century?

A public health nurse is assessing the health of the community and planning appropriate public health interventions.Which of the following models could the public health nurse use? (Select all that apply.)