Deck 9: Population-Based Public Health Nursing Practice: the Intervention Wheel

Question 1

A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which intervention?

A) Screening
B) Referral and follow-up
C) Surveillance
D) Health teaching

Answer 1

Screening

Question 2

A public health nurse uses collaboration,coalition building,and community organizing when:

A) Providing case management, referral, and follow-up services with individuals
B) Carrying out collective action at the systems or community levels of practice
C) Conducting a community assessment
D) Implementing primary and secondary prevention strategies

Answer 2

Carrying out collective action at the systems or community levels of practice

Question 3

A nursing student develops a teaching plan about hand washing to present to a group of elementary school children at the local school.Which public health intervention is being implemented?

A) Collaboration
B) Surveillance
C) Health teaching
D) Screening

Answer 3

Health teaching

Question 4

A public health nurse utilizes the nursing process at all levels of practice by:

A) Including specific goals for community health nurses
B) Developing an accurate nursing diagnosis
C) Analyzing the needs of the community, system, and individuals and families
D) Utilizing primary, secondary, and tertiary prevention

Question 5

Public health nurses use a common set of interventions to:

A) Describe the proper order of implementation.
B) Emphasize surveillance as the main focus of public health practice.
C) Guide practice and generate agency protocols.
D) Improve the health status of communities, systems, individuals, and families.

Question 6

An example of a measurable outcome health status indicator at the individual-level of practice that would be used by a public health nurse is:

A) A 50-year-old woman receives annual mammograms
B) School absences in a community decline
C) Teachers have increased awareness of health problems
D) Those in poverty utilize the free mammogram program

Question 7

Which statement is true about the origins of the Intervention Wheel?

A) A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin developed and refined the Intervention Wheel.
B) It was conceived by a group of international nurses from Norway, Kazakhstan, and Japan.
C) It was a result of a qualitative analysis carried out by the State Boards of Nursing.
D) It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health.

Question 8

Since the Intervention Wheel was first published in 1998,it has:

A) Guided national policy
B) Been used as a tool in deciding licensure issues for State Boards of Nursing
C) Been incorporated into the public health curricula of many nursing programs
D) Gained wide acceptance internationally

Question 9

An occupational health nurse works with an employer to develop a workplace wellness program for its employees.This intervention is occurring at the _____-level of practice.

A) Individual/family
B) Systems
C) Community
D) Government

Question 10

When implementing interventions at the systems-level of practice,the public health nurse would:

A) Involve the entire community in solving the health problem.
B) Identify health problems in the community.
C) Change laws, policies, and practices that influence population-based issues.
D) Provide outreach services to populations at risk.

Question 11

A public health nurse uses Assumption 2,"Public health nursing practice focuses on populations," to guide practice.Which would be considered a population of interest?

A) Healthy school children
B) Homeless individuals
C) A person recently diagnosed with diabetes
D) Teenage parents

Question 12

When public health nurses conduct an assessment of a community's health,they

A) Define one problem that will be the focus for a year.
B) Assess a social network of interacting individuals usually in a defined territory.
C) Minimize the effects of health risks and hazards.
D) Intervene at the population-level by changing laws and regulations.

Question 13

Which is an example of a public health nurse conducting a community assessment?

A) Visiting an elderly person at home to assess and evaluate safety and fall risk
B) Developing diagnoses to identify nursing interventions at a health clinic
C) Evaluating services at an immunization clinic where a translator provides services
D) Compiling recent data from the county health department on child abuse cases

Question 14

A nurse promotes alliances among organizations for a common purpose.Which public health intervention is being implemented?

A) Health teaching
B) Coalition building
C) Surveillance
D) Referral and follow-up

Question 15

What is the purpose of the color-coded wedges on the Intervention Wheel?

A) The interventions are grouped together in related wedges.
B) The wedges consist of referral information for each wedge.
C) The element of health teaching is the predominant feature of each wedge.
D) Coalition building must be implemented with each wedge.

Question 16

Public health nurses utilize registries to identify children with delayed or missing immunizations.They subsequently follow up with families by phone calls or home visits.This is an example of ____-level of practice.

A) Systems
B) Community
C) Policy
D) Individual/family

Question 17

The levels of practice encompassed by the Intervention Wheel are:

A) Communities, individuals and families, and systems
B) Assessment, diagnosis, and evaluation
C) Primary, secondary, and tertiary
D) Communities, populations, and aggregates

Question 18

Public health interventions are implemented with:

A) Legislators, policy makers, and community leaders
B) Individuals and families, communities, and systems
C) Children, adolescents, and adults
D) Health departments, public health agencies, and visiting nurses associations

Question 19

Which statement about the Intervention Wheel is true?

A) It provides a graphic illustration of population-based public health practice.
B) It describes in detail the components of public health nursing.
C) It demonstrates the practice of community health nurses for policy and lawmakers.
D) It is a framework used by all health departments in the United States.

Question 20

A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community.This intervention is occurring the _____-level of practice.

A) Individual/family
B) Systems
C) Community
D) Government

Question 21

The cornerstones of public health nursing practice (select all that apply):

A) Focus on the health of the entire population
B) Reflect community priorities and needs
C) Promote health through strategies driven by epidemiological evidence
D) Are grounded in an ethic of collaboration

Question 22

A public health nurse implements the public health intervention of health teaching at the systems-level of practice by:

A) Participating in the "Great American Smokeout"
B) Working with a local employer to provide smoking cessation education
C) Providing one-on-one counseling to smokers
D) Advocating for increased taxes on tobacco products

Question 23

Which nursing diagnosis would a public health nurse use when addressing the problem of obesity at the community-level of practice?

A) Alteration in nutrition: More than body requirements
B) Need for increased knowledge of proper nutrition
C) Families at risk for obesity because of inactivity
D) Overweight child related to poor dietary habits