Deck 7: Clinical Prevention and Population Health for Improving the Nations Health

Question 1

Which are social determinants of health?

A)Individual health behaviors, physical environment, social environment, and healthcare coverage
B) Physical environment, social environment, healthcare coverage, and emotional intelligence
C)Social environment, emotional intelligence, healthcare coverage, and infrastructure
D)Infrastructure, emotional intelligence, working conditions, and social protection

Answer 1

A

Question 2

How often has the United States issued a Healthy People initiative?

A)Once in the past 10 years
B) Every decade for several decades
C)Every 5 years for several decades
D)Every year over the past 2 decades

Answer 2

B

Question 3

Which organization states that cooperation between the people of a nation and their governments is necessary to promote health and prevent disease?

A)AANP
B) WHO
C)CDC
D)ANA

Answer 3

B

Question 4

Which option describes a focus of the DNP AACN Essential VII "Clinical Prevention and Population Health for Improving the Nation's Health?"

A)Analyze epidemiological data related to individual, aggregate and population health
B) Concentrate on care models related to provider preferences
C)Evaluate fee for service models that can close the gaps in health care
D)Promote fee for service models that meet the social determinants of health

Question 5

Which has historically been the major focus of data analysis by nurses?

A)Healthcare utilization
B) Contract benefits
C)Infection prevention
D)Discharge planning

Question 6

Which courses in a DNP curriculum provide the basics for data analysis?

A)Informatics and Healthcare Economics
B) Epidemiology and Biostatistics
C)Health Policy and Evidence-Based Practice
D)Informatics and Epidemiology

Question 7

Which role did the Study on Efficacy of Nosocomial Infection Control (SENIC) recommend for nurses?

A)A knowledgeable infection prevention nurse per 250 hospital beds
B) An educational role regarding effective handwashing techniques
C)Development of DNPs to analyze data on nosocomial infections
D)An educational role regarding sterilization of equipment

Question 8

The use of which mechanism during data analysis can support the practice of evidence-based nursing?

A)Questions based on the ANHE
B) A PCMH question
C)Questions that focus on APIC
D)The PICO(T) question

Question 9

Nurses educated at the DNP level evaluate the impact of socioeconomic and cultural factors in developing interventions in order to

A)develop interventions that will be politically correct.
B) eliminate interventions that would be effective for all populations.
C)analyze interventions that impact comparative effectiveness research.
D)formulate interventions that are specific for the target population.

Question 10

Which are two instances from 2014 in which cultural beliefs impacted the failure to rescue the population?

A)SARS and RSV outbreaks
B) Colon cancer and MRSA outbreaks
C)Ebola and Measles outbreaks
D)Influenza and HIV outbreaks

Question 11

Health promotion and disease prevention mean the same thing to providers.

Question 12

The nursing theory of health promotion, first published in 1982, was the work of Pender.

Question 13

Madeline Leininger's Sunrise model reinforces emotional care.

Question 14

Donabedian used the concepts of structure, process, and outcome in his framework for evaluation.

Question 15

I PREPARE is the mnemonic recommended for use by nurses to perform environmental health assessments.

Question 16

Secondary prevention interventions include promoting My Plate nutrition principles.

Question 17

Environmental risks related to climate change threaten the health of the global population.

Question 18

Retail-based clinics have partially met a gap in care for the uninsured and underinsured.

Question 19

_________ is the last step in the nursing process and is used to determine if a care delivery model is working as intended.

Question 20

Match the model with its' description:
-Health Promotion Model

A)Used to plan public health activities
B)Identifies stages of readiness to change
C)Depicts how the theory can be used to develop culturally congruent care
D)Incorporates biologic, psychological, and sociocultural factors
E)Is made up of 12 different domains to be assessed

Question 21

Match the model with its' description:
-Sunrise Model

A)Used to plan public health activities
B)Identifies stages of readiness to change
C)Depicts how the theory can be used to develop culturally congruent care
D)Incorporates biologic, psychological, and sociocultural factors
E)Is made up of 12 different domains to be assessed

Question 22

Match the model with its' description:
-Purnell Model

A)Used to plan public health activities
B)Identifies stages of readiness to change
C)Depicts how the theory can be used to develop culturally congruent care
D)Incorporates biologic, psychological, and sociocultural factors
E)Is made up of 12 different domains to be assessed

Question 23

Match the model with its' description:
-PRECEDE-PROCEED model

A)Used to plan public health activities
B)Identifies stages of readiness to change
C)Depicts how the theory can be used to develop culturally congruent care
D)Incorporates biologic, psychological, and sociocultural factors
E)Is made up of 12 different domains to be assessed

Question 24

Match the model with its' description:
-Transtheoretical model

A)Used to plan public health activities
B)Identifies stages of readiness to change
C)Depicts how the theory can be used to develop culturally congruent care
D)Incorporates biologic, psychological, and sociocultural factors
E)Is made up of 12 different domains to be assessed

Question 25

Consider the Clinical Prevention and Population Health Curriculum Framework (CPPH) and your proposed Doctoral Project. How does your doctoral project fit into the CPPH Framework?

Question 26

The World Health Organization (WHO) developed the Commission on Social Determinants of Health (CSDH), who indicated 3 principles that needed action to improve the social determinants. How do you feel the doctorally prepared APRN can impact each of the principles?

Question 27

The DNP education includes data analysis in subjects such as biostatistics and epidemiology. Why is this education important to the DNP prepared practitioner and those served by that practioner?

Question 28

Why is it important for the DNP-prepared nurse to understand care delivery models such as health promotion models and cultural dimensions of health?

Question 29

Clinical Prevention is the term used to describe the seventh Essential for DNP Education instead of Health Promotion. Describe whether you feel this terminology was the best choice for the title of the essential.

Question 30

To address health inequities and promote health and prevent disease, the WHO developed which of these?

A) Commission on Social Determinants of Health
B) Healthy People Initiative
C) National Prevention Strategy
D) U.S. Patient Protection and Affordable Care Act

Question 31

Which of the following leading health indicators would include adults with hypertension whose blood pressure is under control?

A) Population health behaviors
B) Community health behaviors
C) Clinical health service
D) Clinical preventive service

Question 32

Which component of the clinical prevention and population health framework would include the importance of health care as a determinant of health?

A) Descriptive epidemiology
B) Etiology, benefits, and harms
C) Evidence-based practice
D) Determinants of health

Question 33

Which of the following refers to all interventions focused on the avoidance of health risks or illness as well as improvement of current and future health status?

A) Health promotion
B) Clinical prevention
C) Population health
D) Community health

Question 34

In Florence Nightingale's first documented clinical prevention intervention, she used which of the following to illustrate the cause of death of soldiers in the Crimean War?

A) Stratified random sample
B) Mortality report
C) Wedge diagram
D) Morbidity report

Question 35

Which of the following is an example of secondary prevention?

A) Breast cancer screening
B) Diabetes education classes
C) Lactation consultation
D) Standardized wound care

Question 36

In the transtheoretical model of change, which of the following is an example of someone in the precontemplation stage?

A) Someone who smokes cigarettes on a daily basis and is resistant to quitting
B) Someone who wants to go on a diet at some point but is considering their options
C) Someone who cuts down to smoking two packs a day
D) Someone who has been dieting for a few months but has relapsed back into making poor nutritional choices

Question 37

A nurse gathers a health history on a patient. According to Nola Pender's Health Promotion Model, which stage does this action reflect?

A) Evaluation
B) Planning
C) Assessment
D) Implementation

Question 38

Who was the first to introduce nursing to the concept of the need for transcultural understanding in the provision of patient care?

A) Nola Pender
B) Florence Nightingale
C) Anne Fadiman
D) Madeleine Leininger

Question 39

Who developed a model for assessing culture in order to advance culturally acceptable healthcare interventions.

A) Pender
B) Purnell
C) Fadiman
D) DiClemente

Question 40

In the PRECEDE-PROCEED Model, predisposing factors directly influence which of these?

A) Outcome evaluations
B) Reinforcing factors
C) Behavior/lifestyle
D) Quality of life

Question 41

Which of the following addresses how the process of change is influenced by the rate of acceptance of change?

A) Lewin's theory
B) The transtheoretical model of change
C) The diffusion of innovation theory
D) The PRECEDE-PROCEED model

Question 42

Which of the following theories would be used in the evaluation phase of the nursing process?

A) Sunrise model
B) Theory of quality assessment
C) Lewin's theory
D) The diffusion of innovation theory

Question 43

Which of the following is the greatest area of opportunity and need in environmental health nursing at the population level?

A) Food security
B) Preventable disease
C) Climate change
D) Genomics

Question 44

Which of the following would be an example of an objective related to improve occupational health?

A) Reduce occupational skin diseases or disorders among full-time workers.
B) Reduce the number of days the air quality index exceeds 100.
C) Reduce blood lead levels in children.
D) Increase recycling of municipal solid waste.

Question 45

Which of the following is an assessment tool developed for nurses to perform an appropriate environmental assessment?

A) Wedge diagram
B) PRECEDE-PROCEED
C) Public health intervention wheel
D) I PREPARE

Question 46

One of the recommendations developed by the Commission on Social Determinants of Health to address the social determinants of health is to improve daily living conditions.

Question 47

In 2010, the Affordable Care Act emphasized prevention as a means to improve health.

Question 48

The IOM report Nursing, Health, and the Environment identified a strong role for nursing in the field of environmental health.

Question 49

An example of a tertiary prevention activity is the proper timing of prophylactic antibiotics.