Deck 13: Health Planning for Local Public Health Departments

Question 1

A nurse working at a PHD received a phone call from a nurse who works on the labor and delivery floor at the local hospital. The nurse reports that they are seeing many more women and their children coming into the hospital with inadequate nutrition. They wish to partner with the PHD on a project that addresses this issue. Where should they begin?
1)Perform a community and cultural assessment to understand the community in which they are working.
2)Send a questionnaire to all of these women to see why they aren't utilizing Women, Infants, and Children (WIC) and other governmental services.
3)Place flyers for the WIC program in local physician's office and the lobby of the hospital.
4)Sign up all women who deliver at the hospital for home visits after discharge from the hospital so their home nutrition habits can be assessed.

Answer 1

1

Question 2

In the county served by the public health department (PHD), there is a measles outbreak. What steps are usually taken by a PHD to address these types of outbreaks? (Select all that apply.)
1)Mandate vaccinations for school attendance.
2)Carry out mass immunization in an unvaccinated population.
3)Fine person who are not vaccinated.
4)Send out flyers to parents encouraging them to vaccinate their children.

Answer 2

1, 2

Question 3

A major wildfire has struck a town in California. The firefighters have finally put the fire out, but there are large sections of several communities that have been destroyed. How should the nurse intervene during the immediate recovery phase?
1)Revise the emergency preparedness plans to reflect the problems that have emerged.
2)Go into the community to assess the needs of the displaced residents.
3)Allow the first responders to take control of the situation.
4)None of the above.

Answer 3

2

Question 4

A nurse is looking to improve communication about emergency situations with the young adults aged 18 to 2
1)Radio alerts
2)Television alerts
3)E-mail alerts
4)Text messages
5) Which of the following methods is likely to be most effective for young adults?

Question 5

A PHN has accepted a new position with the local PHD. While reviewing the records, the PHN notices that the last community health assessment was completed 4 years ago. What should the PHN do?
1)Nothing; the last assessment was only 4 years ago.
2)Perform a brief assessment to become familiar with the community.
3)Perform a full community health assessment, as per protocol.
4)Report the nurses' negligence for failing to keep up with assessments.

Question 6

An occupational nurse has a worker complaining of flu-like symptoms. The CDC had recently released an alert regarding a new strain of influenza that has been at epidemic levels in their city. How does the nurse proceed?
1)Send him home to recover.
2)Send him to his primary care provider (PCP) for diagnosis and let the PCP handle reporting the case to the public health department.
3)Notify the PHD and begin epidemiological screening of his coworkers.
4)None of the above.

Question 7

A nurse working in a primary care office is caring for a young woman with a new diagnosis of syphilis. The young woman is horrified and asks the nurse if she has to tell anyone about the diagnosis. How should the nurse respond?
1)"Absolutely not. This is your protected health information, and I can't release any information unless you give me permission."
2)"I'll need to contact the local health department, and they will likely contact your prior sexual partners to be screened as well."
3)"You should call your previous partners, but I can't force you to call anyone."
4)None of the above.

Question 8

A nurse wishes to involve the local health department in planning a community-wide intervention. The nurse calls the reception area to determine how best to involve the health department and learns that it is run by the local government in conjunction with the local board of health, which is known as a ____ system.
1)Centralized
2)Mixed
3)Decentralized
4)Shared

Question 9

A PHN is working with coworkers to track an outbreak of a new virus. They need additional help in visualizing the location and density of the cases. What tool should they consider using?
1)GIS
2)EHR
3)Public health systems
4)A map

Question 10

A nurse is conducting an assessment of the health of young adults in her community and wishes to begin with information on health risks. What resource would be the best place to begin?
1)GIS
2)BRFSS
3)Healthy People
4)CDC

Question 11

A nurse has been hired by the PHD to perform family planning services. The position was formed as the result of categorical funds obtained from a federal grant. This means that the nurse will need to:
1)Practice according to the guidelines of the federal government.
2)Track time spent in each function to ensure that it meets the grant's requirements.
3)Invoice the grant at the end of the position.
4)Apply for approval from the state and local governments.

Question 12

A PHN is reviewing the birth data collection forms for birth certificates. The PHN is checking that the forms contain at least which of the following pieces of information? (Select all that apply.)
1)Number of prenatal visits
2)Parental income
3)Type of delivery
4)Congenital defects
5)Parental education

Question 13

A nurse has just accepted a job with the local public health department. The nurse will be responsible for monitoring and managing the vital statistics. What data will be tracked? (Select all that apply.)
1)Communicable diseases
2)Births
3)Marriages
4)Divorces
5)Deaths

Question 14

A nurse is beginning employment at a local health department, and reviewing the job description and the functions that fall under the purview of the health department. Which of the following is not one of the six minimum functions as named by the American Public Health Association (APHA)?
1)Vital statistics
2)Public health education
3)Promotion of elder health and safety
4)Environmental sanitation

Question 15

A PHN has decided to use the MAPP tool to address the issue of domestic violence in the community. As the PHD has never used this tool before, the PHN obtains specialized training for which of the following assessment tools? (Select all that apply.)
1)Community Themes and Strengths Assessment
2)Local Public Health System Assessment
3)Forces of Change Assessment
4)Community Health Status Assessment
5)Cultural Health Assessment

Question 16

A PHN is reviewing immunization rates for the students in the county. The PHN observes that the rate is significantly lower for incoming kindergartners than it has been in years past. After performing a community assessment, the PHN finds that many of the unvaccinated children have parents who have less than a high school education level and whose income is at or below the poverty level. Which of the following interventions may be successful at boosting immunization rates in the county? (Select all that apply.)
1)Mandate that all students be vaccinated before starting public school.
2)Provide a list of places where the students can obtain low-cost immunizations.
3)Prepare a parent handout in simple to understand information in a variety of languages.
4)Send home copies of the CDC immunization requirements for the parents to review.
5)Offer a free vaccination clinic at the school for a week.

Question 17

A nurse with experience working in an urban public health department (PHD) has taken a job in rural Wyoming. She finds that a major issue directly related to infrastructure in this new job compared to her other job is:
1)Lack of health literacy.
2)Limited resources and isolation.
3)Health disparity.
4)Decreased life expectancy.

Question 18

A PHN is working in the public health department in San Diego County. After a recent storm, the department begins to conduct water testing to ensure that the ocean water is safe to swim in. Testing results reveal that the level of bacteria is 10 times the acceptable limit. What is the first step the PHD should take?
1)Issue a public health statement informing residents of the risk of swimming.
2)Close the beaches until the levels return to normal.
3)Treat the water with anti-microbial agents.
4)Issue a boil water alert.

Question 19

A nurse is working with a public health department (PHD). They have set a goal to expand their role by including direct, individualized patient care. The PHD has little to no funding available for this project. Which of the following is a key method that PHDs use to fund provision of direct care?
1)Fundraise with local politicians and key business owners.
2)Provide their services on a voluntary basis in one area of the PHD building.
3)Open a federally qualified health center (FQHC).
4)Adjust their budget in other areas to open funds for the project.

Question 20

A PHN is counseling a young man who has positive acid-fast bacillus (AFB) sputum-smear results. Which of the following statements about what to expect during his TB treatment is incorrect?
1)He will take several antibiotics for 6 to 9 months.
2)Because his information is protected health information, persons he has been in contact with will not be interviewed.
3)He will need to be observed taking his medication each day.
4)He will need to be on activity restrictions until he is feeling completely recovered.