Question 1

According to the intervention model, the three levels of public health nursing practice are:&#10;A) Assessment, assurance, policy development&#10;B) Education, outreach, referral&#10;C) Systems, community, individual/family&#10;D) Accountability, training, leadership&#10;

Accepted Answer

The intervention model in public health nursing practice includes three levels: systems, community, and individual/family, focusing on different scopes of intervention.

Question 2

Providing information about safe-sex practices is an example of which of the following levels of prevention?&#10;A) Primary prevention&#10;B) Secondary prevention&#10;C) Tertiary prevention&#10;D) Assessment&#10;

Accepted Answer

Safe-sex practices are a primary prevention measure as they aim to prevent the onset of sexually transmitted infections (STIs) in the first place by promoting safe behavior before exposure to STIs occurs. Primary prevention is focused on preventing the development of a disease or condition. Secondary prevention aims to detect and treat a disease early, and tertiary prevention is focused on managing the symptoms and complications of an existing disease or condition. Assessment is a step in the healthcare process where a healthcare provider gathers information about a patient's health status.

Question 3

The goal of the local public health department is to:&#10;A) Monitor communicable diseases&#10;B) Safeguard the public's health and improve the health status of communities&#10;C) Offer clinic services for those who do not have insurance&#10;D) Enforce environmental codes and laws&#10;

Accepted Answer

The primary goal of the local public health department is to safeguard the public's health and improve the health status of communities. While monitoring communicable diseases and enforcing environmental codes and laws are important functions of public health departments, they are secondary to the overall goal of improving community health. Clinic services for those without insurance may be provided by some public health departments, but this is not the primary goal.

Question 4

A public health nurse assists a client in identifying the services needed the most at the least cost. This public health function is as a/an:&#10;A) Role model&#10;B) Primary caregiver&#10;C) Outreach worker&#10;D) Case manager&#10;

Accepted Answer

The role of a case manager is to assist clients in identifying the services they need and coordinating those services at the least cost. While outreach workers may help connect clients to services, they do not necessarily assist with identifying the most needed services or minimizing cost. Primary caregivers are typically focused on direct patient care rather than service coordination. Role models may serve as an example for clients to follow, but they do not necessarily assist with identifying and coordinating services.

Question 5

Public health nurses are often involved in secondary prevention activities. An example of this would be:&#10;A) Screening children for lead poisoning&#10;B) Working with communities on emergency preparedness plans&#10;C) Developing social networking interventions to modify community norms&#10;D) Educating patients with strokes at rehab centers to help optimize their functioning&#10;

Accepted Answer

Screening children for lead poisoning is an example of secondary prevention, as the goal is to detect and treat the condition early before it worsens and becomes more difficult to manage. Secondary prevention involves early detection and intervention to prevent the progression of a disease or condition.

Question 6

The authority of the local health department is delegated by:&#10;A) The federal government&#10;B) The state&#10;C) Local authorities&#10;D) Regional governing boards&#10;

Accepted Answer

The authority of the local health department is delegated by the state. Each state has their own laws and regulations regarding the scope and authority of their local health departments.

Question 7

Healthy People 2010 lists communicable disease as an area of focus including:&#10;A) The need for healthy people in the year 2010&#10;B) Getting a complete sexual history including high-risk behaviors&#10;C) Allowing the states to regulate communicable disease prevention by 2010&#10;D) Vaccine-preventable diseases and emerging antimicrobial resistance&#10;

Accepted Answer

Healthy People 2010 includes goals related to reducing vaccine-preventable diseases and addressing emerging antimicrobial resistance, making choice D the correct answer. Choice A is incorrect because while the overall goal of Healthy People 2010 is indeed to promote health and prevent disease, the specific area of focus listed here is communicable disease. Choice B is not broad enough to capture the full scope of the communicable disease focus, and while sexual history is certainly relevant for some communicable diseases, it is not the only factor involved. Choice C is incorrect as states already had the authority to regulate communicable disease prevention prior to 2010.

Question 8

The American Public Health Association Public Health Nursing Section states that the educational preparation of public health nurses should be at least a/an:&#10;A) Associate degree&#10;B) Baccalaureate degree&#10;C) Master's degree&#10;D) Certification&#10;

Accepted Answer

The American Public Health Association Public Health Nursing Section recommends that public health nurses should have at least a baccalaureate degree in nursing as their educational preparation. The higher level of education provides more comprehensive training and allows nurses to be better equipped to meet the complex and evolving healthcare needs of the public.

Question 9

Which of the following has the potential to weaken existing important public health programs?&#10;A) The shift in funding to support bioterrorism response efforts&#10;B) The anthrax outbreaks&#10;C) The number of citizens with the Human Deficiency Virus&#10;D) The lack of public health nurses&#10;

Accepted Answer

The shift in funding to support bioterrorism response efforts can divert resources and funding away from existing public health programs, potentially weakening them.

Question 10

The public health nurse who aims to change behaviors such as poor hand washing skills and unsafe sex practices is acting in the role of:&#10;A) Case manager&#10;B) Advocate&#10;C) Educator&#10;D) Role model&#10;

Accepted Answer

The public health nurse who aims to change behaviors such as poor hand washing skills and unsafe sex practices acts as an educator, providing knowledge, information, and guidance to individuals and communities to enable them to make informed decisions and improve their health outcomes. While case managers and advocates may also play important roles in public health, their focus is more on coordinating services and resources for individuals and advocating for policy and system changes, respectively. Role modeling refers to leading by example and demonstrating healthy behaviors rather than actively promoting behavior change in others.

Question 11

Federal public health agencies develop regulations that implement policies formulated by Congress, provide significant amounts of funding to state agencies, and survey the nation's health status. Which of the following are federal agencies? Select all that apply.

A) The U.S. Department of Health and Human Services
B) The Centers for Disease Control and Prevention (CDC)
C) The Health Resources and Services Administration
D) The Food and Drug Administration (FDA)
E) None of the above

Accepted Answer

The answer of Federal public health agencies develop regulations that...

Question 12

Uninsured individuals seek services on a sliding payment scale from such sources as public hospital clinics or from a variety of free clinics. What role do public health nurses play related to this? Public health nurses:

A) Provide lifestyle changes for this vulnerable population
B) Advocate for federal policy for this group
C) Serve these populations by acting as a bridge between providing health services and keeping the needs of this population on the political agenda
D) Provide direct care in times of acute illness for this group

Accepted Answer

The answer of Uninsured individuals seek services on a sliding...

Question 13

Which of the following activities is tertiary prevention?&#10;A) Providing immunizations&#10;B) Conducting lead screening activities for children&#10;C) Case management services that link patients with chronic illness to health care and community support services&#10;D) Identifying and treating patients in a TB clinic&#10;

Accepted Answer

The answer of Which of the following activities is tertiary...

Question 14

A public health nurse discusses with a client which services are appropriate to meet her needs. The public health function is as a/an:&#10;A) Case manager&#10;B) Advocate&#10;C) Counselor&#10;D) Role model&#10;

Accepted Answer

The answer of A public health nurse discusses with a...

Question 15

There are eight principles that distinguish public health nursing from other nursing specialties included in the Scope and Standards of Public Health Nursing Practice. Which of the following are included in these principles? Select all that apply.

A) The client or "unit of care" is the population.
B) Primary prevention is the priority in selecting appropriate activities.
C) Acute care should always be the primary concern of public health nurses.
D) Government agencies mandate requirements for public health.

Accepted Answer

The answer of There are eight principles that distinguish public...

Question 16

The public health nurse focuses on:&#10;A) Home visiting&#10;B) Direct care&#10;C) Health&#10;D) Illness prevention&#10;

Accepted Answer

The answer of The public health nurse focuses on:&#10;A) Home...

Question 17

Public health programs are frequently implemented by the development of partnerships and coalitions with other providers, agencies, and groups in the location being served. The principles of partnership include which of the following?

A) Partnerships are easily formed among nurses working in public health in many states.
B) Partnerships use their own roles to accomplish tasks.
C) Partnerships are built up on identified strengths and assets including areas that need improvement.
D) Partnerships are loose associations among people.

Accepted Answer

The answer of Public health programs are frequently implemented by...

Question 18

A nurse providing services for uninsured women is acting in the role of:&#10;A) Role model&#10;B) Primary caregiver&#10;C) Outreach worker&#10;D) Case manager&#10;

Accepted Answer

The answer of A nurse providing services for uninsured women...

Deck 45: Public Health Nursing at the Local, State, and National Levels