Question 1

A group of community members committed to increasing physical activity asks the nurse for help in implementing bicycle lanes on community roads. Which approach would the nurse use that demonstrates social marketing of this community goal?

A) Determine the number of community members who use bicycles for transportation.
B) Conduct a telephone survey of community members asking for their support for a bicycle lane.
C) Approach elected officials and ask if the bicycle lane can be discussed during the next council meeting.
D) Create a display explaining the advantages of a bicycle lane to be posted during the upcoming community health fair.

Accepted Answer

4. Social marketing is a population health nursing intervention that applies commercial marketing technologies to the analysis, planning, execution, and evaluation of programs designed to influence the voluntary behavior of target audiences to improve their personal welfare or that of their society. Social marketing is consumer focused in that it is tailored to the needs and characteristics of a specific target population and is designed to address societal problems at the population level. The best approach would be for the nurse to create a display to be posted during the community health fair which explains the benefits of having a bicycle lane. Determining the number of community members who use bicycles for transportation does not support the goal of increasing physical activity by community members. Conducting a telephone survey of community members asking for support of a bicycle lane does not identify barriers or identify perceived benefits. Approaching elected officials to discuss a bicycle lane during the next meeting does not gain the community's support for the change.

Question 2

The population nurse becomes aware of a treatment plant that is depositing waste materials into the drinking water. Efforts to have this plant change its behavior have failed and the nurse has been asked by community members to intervene. Which action should the nurse perform when advocating for the community members?

A) Provide a list of community members who are employees of the treatment plant.
B) Analyze other community approaches used to address similar water treatment issues.
C) Collect information about the waste materials being introduced into the water supply.
D) Examine community members for health problems believed to be caused by the contaminated water.

Accepted Answer

3. As an advocate, the population health nurse engages in four activities or functions. The first function is determining the need for advocacy and factors that prevent clients from acting on their own behalf. A second function involves determining the point at which advocacy will be most effective. Collecting facts related to the problem is the third advocacy-related function and the fourth function is presenting the case to the appropriate decision makers. Collecting information about the waste materials being introduced into the water supply exemplifies advocacy for this community issue. Providing a list of community members who are employees of the treatment plan demonstrates advocacy for the treatment plant and not the community. Analyzing other community approaches used to address similar water treatment issues does not advocate for the community members in any way. Examining community members for health problems believed to be caused by the contaminated water suggests that the nurse does not believe that the treatment plant is causing health problems and does not advocate for the community members.

Question 3

The nurse is designing a program for pregnant adolescents in the community. The program will focus on fetal development, appropriate nutrition, developing social support systems, and screening for potential abuse by partners or others. This is an example of:

A) Community-driven care.
B) Community-focused care.
C) Community-based nursing.
D) Population health nursing.

Population health nursing.

Accepted Answer

4. Population health nursing is the practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences. The population will benefit from the program because the adolescents will be healthier and deliver healthier infants, thus saving on health care costs. Community-based nursing is nurses providing sick care in community settings. Community-focused care is bringing nursing knowledge and expertise to the community, but it does not have a population focus. Community-driven care focuses on the needs of the community as a whole and emphasizes community participation in determining those needs. It can limit the focus of practice to health needs identified by the population group, and could thus exclude pregnant adolescents.

Question 4

The nurse meets with members of the community in open forums to help determine ways to improve health. The nurse identifies health problems in the community based on the community input and the nurse's community assessment. In this situation, the nurse is practicing:

A) Public-health nursing.
B) Community-driven care.
C) Community-focused care.
D) Community-oriented care.

Accepted Answer

3. Community-focused care brings nursing knowledge and expertise to the community. Public health nursing has a perceived focus of environmental sanitation and controlling communicable diseases. Community-driven care focuses on the needs of the community as a whole, but can be limited to only addressing needs identified by community members. Community-oriented care is limited and focuses program development on small aggregates while potentially ignoring health issues affecting larger population groups.

Question 5

The nurse is caring for a specific population within a community. Which nursing action should the nurse use to exemplify the population health nurse's case finding role?&#10;A) Assess a client's need for education.&#10;B) Advocate for a mother who is being seen in a clinic.&#10;C) Carry out an investigation of meningitis cases.&#10;D) Develop an educational plan for a group of adolescents.&#10;

Accepted Answer

3. Case finding has been described as basic to population health nursing. Case finding involves identifying individual cases or occurrences of specific diseases or other health-related conditions requiring services. In the educator role, the population health nurse provides clients and others with information and insights that allow them to make informed decisions on health matters. As an advocate, the population health nurse engages in a number of activities or functions including determining the need for advocacy, determining the point at which advocacy will be most effective, collecting facts related to the problem, and presenting the case to the appropriate decision makers.

Question 6

The population health nurse reviews the standards for population-focused care prior to meeting with a group of patients. On which standards should the nurse focus to determine this population's risk for developing health problems related to obesity? (Select all that apply.)

A) Standard 1: Assessment.
B) Standard 2: Diagnosis.
C) Standard 8: Competency.
D) Standard 12: Ethics.
E) Standard 13: Evidence-based practice.

Accepted Answer

1. The first standard addresses assessment where the population health nurse collects data needed to assess the health status of the population and to identify factors contributing to health and illness in the population. Under Standard 2, the nurse analyzes health assessment data to derive population health diagnoses, which are then prioritized to promote effective action. Standard 13 is the integration of research findings into evidence-based practice. This is important for this population because of the disease process and related health problems. Standard 8 focuses on attaining knowledge and maintaining competency in nursing and public health practice. There is no specific evidence to suggest that the nurse needs to attain additional knowledge. Standard 12 emphasizes the need for ethical behavior on the part of the population health nurse. There is no specific evidence to suggest that extra emphasis is needed on ethic for this patient population.
2. The first standard addresses assessment where the population health nurse collects data needed to assess the health status of the population and to identify factors contributing to health and illness in the population. Under Standard 2, the nurse analyzes health assessment data to derive population health diagnoses, which are then prioritized to promote effective action. Standard 13 is the integration of research findings into evidence-based practice. This is important for this population because of the disease process and related health problems. Standard 8 focuses on attaining knowledge and maintaining competency in nursing and public health practice. There is no specific evidence to suggest that the nurse needs to attain additional knowledge. Standard 12 emphasizes the need for ethical behavior on the part of the population health nurse. There is no specific evidence to suggest that extra emphasis is needed on ethic for this patient population.
5. The first standard addresses assessment where the population health nurse collects data needed to assess the health status of the population and to identify factors contributing to health and illness in the population. Under Standard 2, the nurse analyzes health assessment data to derive population health diagnoses, which are then prioritized to promote effective action. Standard 13 is the integration of research findings into evidence-based practice. This is important for this population because of the disease process and related health problems. Standard 8 focuses on attaining knowledge and maintaining competency in nursing and public health practice. There is no specific evidence to suggest that the nurse needs to attain additional knowledge. Standard 12 emphasizes the need for ethical behavior on the part of the population health nurse. There is no specific evidence to suggest that extra emphasis is needed on ethic for this patient population.

Question 7

While working with a local community on an immunization program, the nurse is developing an evaluation tool that incorporates the standards of care for population health nursing practice. What standards should the nurse include in this tool? (Select all that apply.)

A) Advocacy.
B) Research.
C) Collegiality.
D) Autonomy.
E) Leadership.

Accepted Answer

1. The standards of care for population health nursing practice have been developed within the framework of the nursing process and the core functions of public health. They relate to the areas of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Additional standards address expected levels of professional performance and deal with quality of practice, education, professional practice evaluation, collegiality, ethics, collaboration, research, resource utilization, leadership, and advocacy.
2. The standards of care for population health nursing practice have been developed within the framework of the nursing process and the core functions of public health. They relate to the areas of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Additional standards address expected levels of professional performance and deal with quality of practice, education, professional practice evaluation, collegiality, ethics, collaboration, research, resource utilization, leadership, and advocacy.
3. The standards of care for population health nursing practice have been developed within the framework of the nursing process and the core functions of public health. They relate to the areas of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Additional standards address expected levels of professional performance and deal with quality of practice, education, professional practice evaluation, collegiality, ethics, collaboration, research, resource utilization, leadership, and advocacy.
5. The standards of care for population health nursing practice have been developed within the framework of the nursing process and the core functions of public health. They relate to the areas of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Additional standards address expected levels of professional performance and deal with quality of practice, education, professional practice evaluation, collegiality, ethics, collaboration, research, resource utilization, leadership, and advocacy.

Question 8

The population health nurse is demonstrating behavior to be learned by a client and the family. In which focus and role is the nurse providing care?&#10;A) Client-oriented and role model.&#10;B) Delivery-oriented and educator.&#10;C) Client-oriented and referral resource.&#10;D) Population-oriented and collaborator.&#10;

Accepted Answer

1. The focus of nursing care in this situation is the client and the behavior is role modeling. Delivery-oriented nursing involves the operation or the health care delivery system, and role model is a better description of this behavior than educator. The focus of nursing care is the client but this is not a referral resource. Population-oriented care involves promotion, maintenance, and restoration of the population. The behavior that the nurse is demonstrating is not collaboration.

Question 9

After completing a community assessment the nurse is preparing a plan to address behavioral determinants of health. Which topics should the nurse include in this plan? (Select all that apply.)&#10;A) Use of park and bicycle trails.&#10;B) Intake of fresh fruits and vegetables.&#10;C) Ease of obtaining marijuana and cocaine.&#10;D) Hours that the community health clinic is open.&#10;E) Use of protective gear when bicycling.&#10;

Accepted Answer

1. Behavioral determinants involve personal behaviors that either promote or impair health. Behavioral factors are often those most amenable to change in efforts to prevent disease and promote health. Health-related behaviors include recreation and exercise, dietary patterns, substance use and abuse, and use of protective measures. Hours that the community health clinic is open is considered a health system determinant.
2. Behavioral determinants involve personal behaviors that either promote or impair health. Behavioral factors are often those most amenable to change in efforts to prevent disease and promote health. Health-related behaviors include recreation and exercise, dietary patterns, substance use and abuse, and use of protective measures. Hours that the community health clinic is open is considered a health system determinant.
3. Behavioral determinants involve personal behaviors that either promote or impair health. Behavioral factors are often those most amenable to change in efforts to prevent disease and promote health. Health-related behaviors include recreation and exercise, dietary patterns, substance use and abuse, and use of protective measures. Hours that the community health clinic is open is considered a health system determinant.
5. Behavioral determinants involve personal behaviors that either promote or impair health. Behavioral factors are often those most amenable to change in efforts to prevent disease and promote health. Health-related behaviors include recreation and exercise, dietary patterns, substance use and abuse, and use of protective measures. Hours that the community health clinic is open is considered a health system determinant.

Question 10

The nurse is functioning as a liaison within a local clinic. What action is the nurse performing in this role?&#10;A) Serving as initial point of contact between client and agency.&#10;B) Coordinating and directing the use of health care services.&#10;C) Organizing and integrating services.&#10;D) Creating alliances of individuals or groups to achieve a specific purpose.&#10;

Accepted Answer

1. The liaison role is one of serving as the initial point of contact between the client and agency. The case manager role is one of coordinating and directing the selection and use of health care services. As a coordinator the nurse organizes and integrates services to best meet client needs in the most efficient manner possible. Coalition building is the creation of temporary or permanent alliances of individuals or groups to achieve a specific purpose.

Question 11

The population health nurse is helping a client identify alternative solutions for a health problem. In which focus and role is the nurse functioning in this situation?&#10;A) Client-oriented and educator.&#10;B) Delivery-oriented and case manager.&#10;C) Client-oriented and counselor.&#10;D) Population-oriented and counselor.&#10;

Accepted Answer

The answer of The population health nurse is helping a...

Question 12

The nurse holds community forums to gain input in determining the health needs for the community. Issues raised the forum focus on the need for nutrition education, but the nurse notices that many community members are outside smoking before entering the building. The nurse acknowledges the importance of nutrition education, but addresses the incorporation of smoking cessation education as part of a total lifestyle choice program. Which type of nursing is the nurse implementing?

A) Public health nursing.
B) Community-driven nursing.
C) Population-focused nursing.
D) Community-focused nursing.

Accepted Answer

The answer of The nurse holds community forums to gain...

Question 13

The nurse is reviewing the eight domains of competencies for population health nursing before structuring a program to address an identified health problem. What should the nurse keep in mind when reviewing these competencies?

A) They reflect the practice of the experienced population health nurse at only the specialist level and include cultural competence.
B) They reflect the practice of the experienced population health nurse at the generalist level and exclude communication.
C) They include expectations, which range from awareness through knowledge to proficiency and include financial planning.
D) They must all be incorporated into any population health nursing position and include advanced public health practice.

Accepted Answer

The answer of The nurse is reviewing the eight domains...

Question 14

The nurse is creating a program to address cigarette smoking by community members. Which Healthy People 2020 topical areas are relevant to this program? (Select all that apply.)&#10;A) Tobacco.&#10;B) Oral health.&#10;C) Substance abuse.&#10;D) Environmental quality.&#10;E) Clinical preventive services.&#10;

Accepted Answer

The answer of The nurse is creating a program to...

Question 15

The population health nurse is meeting with school district administrators to discuss strategies to promote healthy behaviors in the students who attend schools in the district. Which strategy should the community nurse emphasize as being important for the schools to implement?

A) Provide fresh fruit for morning and afternoon snacks.
16)
B) Schedule scoliosis screening for all female students aged 12 through
C) Examine the quality of repairs made to the school pool after a recent landslide.
D) Ensure safety equipment is available for all student use during sports activities.

Accepted Answer

The answer of The population health nurse is meeting with...

Deck 1: Population Health and Nursing