Deck 2: Population Health Nursing: Yesterday, Today, and Tomorrow

Question 1

While conducting a training class for hospice nurses, the nurse explains the actions taken by William Rathbone, a Quaker philanthropist who implemented nursing care at home for the sick in England. Mr. Rathbone enlisted Florence Nightingale's assistance to develop a concept of nursing care, which he later adopted in the United States after witnessing its benefits to his dying wife. Which aspect of care should the nurse attribute to Mr. Rathbone?

A) Home nursing.
B) Parish nursing.
C) District nursing.
D) Community nursing.

Answer 1

District nursing.

Question 2

The clinical trainer for a group of population health nurses is planning to present the historical events that shaped and formed the development of population nursing in the United States. Which events should the trainer include? (Select all that apply.)

A) Creation of district nursing.
B) Settlement house movement.
C) Passage of immigration limiting legislation.
D) Standardization of community nursing practice.
E) Passage of legislation specific to community nursing.

Answer 2

Settlement house movement.

Question 3

A graduate nurse has scheduled an appointment with the director of the Center for Nursing Research within the National Institutes of Health. What types of research should the graduate nurse prepare to discuss during this meeting?

A) Medication compliance.
B) Reduction in sentinel events.
C) Health promotion and illness prevention.
D) Elimination of hospital-acquired infections.

Answer 3

Health promotion and illness prevention.

Question 4

The nurse is preparing a seminar on population health for a group of staff nurses in a community health clinic. Which events that demonstrated the effectiveness of population health nursing in the United States should the nurse emphasize? (Select all that apply.)

A) Formation of the Red Cross.
B) School nursing program in New York City.
C) Improvement of sanitary conditions in slum areas.
D) Formation of benevolent societies to care for the sick poor.
E) Visiting nurse services of Metropolitan Life Insurance Company.

Question 5

In preparation for a health fair the nurse wants to explain the role of ancient civilizations on water purification. Which civilizations should the nurse highlight as being advocates for clean water supplies? (Select all that apply.)

A) Aztecs.
B) Greeks.
C) Romans.
D) Germans.
E) Egyptians.

Question 6

A group of nursing students are researching governmental efforts to address health promotion-focused public health. Which legislation should the students identify as starting this change in providing care?

A) Hill-Burton Act.
B) Child Health Act.
C) Social Security Act.
D) Sheppard-Towner Act.

Question 7

The nurse is identifying events that can shape the future of population health nursing practice for a group of nursing students. Which event should the nurse emphasize?

A) International effort to eradicate smallpox.
B) Prospective payment for nursing services.
C) Surveillance of the CDC on population health.
D) Threat of terrorism to harm the public's health.

Question 8

The population health nurse is reviewing the concept of health-for-all with a group of new nurses. What should the nurse explain as the significance of the Ottawa Charter for Health Promotion to population health nursing practice?

A) Created specific mechanisms to categorize nursing services.
B) Provided a mechanism for prospective payment for hospital services.
C) Identified assessment, policy formation, and assurance as key indicators for global health.
D) Focused on social, economic, and political reforms as strategies to improve global health.

Question 9

While reviewing the history of health care services as part of an education program the nurse learns that the passage of the amended Social Security Act created Medicare and Medicaid, which increased demands for health care services. How did The National Health Planning and Resources Development Act of 1974 attempt to address the demand for health care services?

A) Increasing funds to improve the health status of the indigent poor.
B) Recognizing that increased hospitals improved the public health status.
C) Increasing funds for more health services to improve public health status.
D) Recognizing the contribution of health practitioners to the public health status.

Question 10

The population health nurse is reviewing the recommendations within the Report of the Massachusetts Sanitary Commission drafted by Lemuel Shattuck. What should the nurse identify as being the most important effect of this document?

A) Establishing state boards of health.
B) Establishing workhouses for the sick poor.
C) Mobilizing social reform to sanitary engineering.
D) Refuting that poverty was the result of deficiencies in moral character.

Question 11

The nurse is reviewing the evolution of national health care systems in countries throughout Europe and the United States for a school project. In which century should the nurse emphasize that national health insurance in the United States was first proposed?

A) Late 20th century.
B) Mid-20th century.
C) Early 20th century.
D) Mid-19th century.

Question 12

The nurse case manager is explaining to a group of health care providers how insurance expenditures for health spending led to the development of diagnosis-related groups (DRGs) in efforts to control spending. What should the case manager emphasize as the driving force for directing health efforts with DRGs?

A) Organize services to be more cost-effective.
B) Decreasing length of stays for hospitalizations.
C) Placing the emphasis on the community to improve population health status.
D) Emphasizing health promotion to decrease hospitalizations and medical costs.

Question 13

The population health nurse is researching the activities of Margaret Sanger for a school paper. The nurse should explain the actions of Ms. Sanger as combining social activism with nursing to her clients by:

A) Advocating for better care for the mentally ill.
B) Reducing rural childbirth morbidity and mortality rates.
C) Providing information about contraceptive services to women.
D) Providing education regarding improved nutrition for families.

Question 14

As part of a school assignment the graduate nursing student is reviewing documents that address population health nursing practice in the United States. Which document should the student emphasize as being the most current policy promulgated by the U.S. Department of Health and Human Services?

A) Lalonde Report.
B) Healthy People
2010.
C) Future of Public Health.
D) Declaration of Alma Alta.

Question 15

The population health nurse is discussing the first organized approach to home nursing of the sick that was established in 1813 by the Ladies' Benevolent Society of Charleston, SC, in response to a yellow fever epidemic. What important aspect of the care provided by this organization should the nurse emphasize?

A) Restricted to women and children.
B) Directed to those residing in the Jewish community.
C) Restricted to those who were able to pay for services.
D) Nondenominational and nondiscriminatory in an era of racial discrimination.

Question 16

Prior to providing care to a family the population health nurse reflects on the achievements of historical nurses who influenced approaches used today to provide care. Which historical figure should the nurse attribute to the combination of political activism with health promotion and disease prevention to improve individual and societal conditions affecting health?

A) Lillian Wald.
B) Lavinia Dock.
C) Lina Struthers.
D) Mary Brewster.

Question 17

The mental health nurse is seeing patients recovering from post-traumatic stress disorder in an out-patient health clinic. Which historical figure should the nurse recognize as being instrumental in improving the care provided to patients with mental disabilities?

A) Clara Barton.
B) Dorothea Dix.
C) Harriet Tubman.
D) Sojourner Truth.