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?

Accepted Answer

Understanding the community and cultural context is crucial to effectively addressing the issue of inadequate nutrition.

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.)

Accepted Answer

A,B

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?

Accepted Answer

The nurse should assess the needs of the displaced residents to provide appropriate care and resources during the immediate recovery phase.

Question 4

A nurse is looking to improve communication about emergency situations with the young adults aged 18 to 2

Accepted Answer

Text messages are likely to be the most effective method for communicating with young adults, as this age group frequently uses mobile phones and is accustomed to receiving and responding to text communications quickly.

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?

Accepted Answer

A full community health assessment should be conducted regularly, typically every 3-5 years, to ensure current data is available for planning and interventions.

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?

Accepted Answer

The nurse should notify the Public Health Department (PHD) due to the CDC alert about the epidemic levels of a new influenza strain, and begin epidemiological screening to prevent further spread among coworkers.

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?

Accepted Answer

Syphilis is a reportable sexually transmitted infection, and healthcare providers are required to notify the local health department for public health tracking and partner notification purposes.

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.

Accepted Answer

The answer of A nurse wishes to involve the local...

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?

Accepted Answer

GIS (Geographic Information System) is a tool that can be used to visualize, analyze, and interpret data to understand spatial patterns and relationships, making it ideal for tracking the location and density of cases in an outbreak.

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?

Accepted Answer

The Behavioral Risk Factor Surveillance System (BRFSS) is a system of health-related telephone surveys that collect data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services, making it a suitable resource for assessing health risks in young adults.

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:

Accepted Answer

Categorical funds from a federal grant require tracking and reporting to ensure that the funds are used according to the specific purposes outlined in the grant.

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.)

Accepted Answer

The answer of A PHN is reviewing the birth data...

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.)

Accepted Answer

The answer of A nurse has just accepted a job...

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)?

Accepted Answer

Promotion of elder health and safety is not listed as one of the six minimum functions by the APHA, which typically include vital statistics, public health education, environmental sanitation, communicable disease control, maternal and child health, and laboratory services.

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.)

Accepted Answer

The MAPP (Mobilizing for Action through Planning and Partnerships) tool involves four assessments: Community Themes and Strengths Assessment, Local Public Health System Assessment, Forces of Change Assessment, and Community Health Status Assessment. Cultural Health Assessment is not part of the MAPP framework.

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.)

Accepted Answer

The answer of A PHN is reviewing immunization rates for...

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:

Accepted Answer

Rural areas often face challenges such as limited healthcare resources and geographic isolation, which can impact the delivery of healthcare services and infrastructure compared to urban settings.

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?

Accepted Answer

The first step should be to close the beaches to prevent public exposure to the contaminated water until it is deemed safe again.

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?

Accepted Answer

Federally Qualified Health Centers (FQHCs) receive federal funding to provide comprehensive health services, making them a viable option for PHDs to expand direct patient care without relying on existing limited funds.

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?

Accepted Answer

Contact tracing is a critical part of TB control, and individuals he has been in contact with will be interviewed to prevent further spread of the disease.

Quiz 13: Health Planning for Local Public Health Departments

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.)