Question 1

What levels of practice are encompassed by the Intervention Wheel?
A) Communities, individuals and families, and systems
B) Assessment, diagnosis, and evaluation
C) Primary, secondary, and tertiary
D) Communities, populations, and aggregates

Accepted Answer

The Intervention Wheel encompasses practice at the levels of communities, individuals and families, and systems.

Question 2

A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease. Which of the following public health interventions is being applied?
A) Screening
B) Referral and follow-up
C) Surveillance
D) Health teaching

Accepted Answer

Screening is the correct intervention as it involves identifying individuals with unrecognized health risk factors or asymptomatic disease conditions through tests or examinations.

Question 3

Public health nurses (PHNs) utilize registries to identify children with delayed or missing immunizations. They subsequently follow up with families by phone calls or home visits. Which of the following levels of practice is being implemented?
A) Systems
B) Community
C) Policy
D) Individual

Accepted Answer

This activity is focused on the individual level because it involves direct interaction with specific families to address their unique health needs, such as delayed or missing immunizations for their children.

Question 4

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.

Accepted Answer

Public health interventions are implemented at various levels including individuals and families, communities, and systems to address a wide range of health issues and promote well-being across different segments of the population.

Question 5

An occupational health nurse works with an employer to develop a workplace wellness program for its employees. Which of the following levels of practice is being implemented?
A) Individual
B) Systems
C) Community
D) Government

Accepted Answer

The nurse is working at the systems level by collaborating with an employer to develop a program that impacts the health and wellness of all employees within the organization, rather than focusing on individual health interventions or broader community or government-level initiatives.

Question 6

A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community. Which of the following levels of practice is being demonstrated?
A) Individual
B) Systems
C) Community
D) Government

Accepted Answer

The campaign targets the entire community by encouraging all members to change their behavior, thus it is a community-level practice.

Question 7

Public health nurses (PHNs) across the United States implement similar types of interventions to improve the health of various groups. Which of the following explains why a common set of interventions is used?
A) Describe the proper order of implementation.
B) Emphasize surveillance as the focus of public health practice.
C) Guide practice and generate agency protocols.
D) Improve the health status of communities, systems, individuals, and families.

Accepted Answer

A common set of interventions is used by public health nurses to improve the health status of communities, systems, individuals, and families, ensuring consistency and effectiveness in public health practice.

Question 8

A public health nurse (PHN) uses Assumption 2, "Public health nursing practice focuses on populations," to guide practice. Which of the following would be considered a population of interest?
A) Healthy school children
B) Homeless individuals
C) A person recently diagnosed with diabetes
D) Teenage parents

Accepted Answer

A population of interest in public health nursing refers to a group of individuals who are healthy but may benefit from health promotion or disease prevention efforts. Healthy school children fit this description as they are generally healthy but can benefit from interventions to maintain or improve their health.

Question 9

A nursing student develops a teaching plan about hand washing to present to a group of elementary school children at the local school. Which of the following public health interventions is being implemented?
A) Collaboration
B) Surveillance
C) Health teaching
D) Screening

Accepted Answer

The nursing student is implementing "Health teaching" by developing and presenting a teaching plan about hand washing to elementary school children. Health teaching involves educating individuals or communities to improve health knowledge and practices.

Question 10

A public health nurse (PHN) utilizes the nursing process at all levels of practice. Which of the following demonstrates how this is accomplished?
A) Including specific goals for community health nurses
B) Developing an accurate nursing diagnosis
C) Analyzing the needs of the community, systems, individuals, and families
D) Utilizing primary, secondary, and tertiary prevention

Accepted Answer

The nursing process involves assessment, diagnosis, planning, implementation, and evaluation. Analyzing the needs of the community, systems, individuals, and families aligns with the assessment phase of the nursing process, which is foundational to all levels of practice.

Question 11

A public health nurse (PHN) is implementing the public health intervention of health teaching at the systems level of practice. Which of the following interventions is most likely being implemented by the nurse?
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

Accepted Answer

Working with a local employer to provide smoking cessation education targets the systems level by influencing organizational practices and policies to promote health.

Question 12

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.

Accepted Answer

The Intervention Wheel is a framework used in public health to illustrate how public health interventions are grouped into related categories, which are represented by the different colored wedges. Each color-coded wedge represents a different category of interventions that share common goals or strategies.

Question 13

A public health nurse (PHN) is using collaboration, coalition building, and community organizing to develop a new program in the community. Which of the following strategies is the nurse most likely using?
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

Accepted Answer

The nurse is most likely using the strategy of carrying out collective action at the systems or community levels of practice. Collaboration, coalition building, and community organizing are strategies aimed at bringing together groups or communities to work towards common goals, which aligns with collective action at broader levels beyond individual care.

Question 14

A public health nurse (PHN) is implementing interventions at the systems level of practice. Which of the following interventions would be used by the nurse?
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.

Accepted Answer

Changing laws, policies, and practices that influence population-based issues is an example of a systems-level intervention. This approach targets the broader systems that impact public health, rather than focusing on individual or community-level interventions.

Question 15

A public health nurse (PHN) is conducting an assessment of the community's health. Which of the following is being accomplished through this activity?
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.

Accepted Answer

Assessing the community's health involves evaluating the social network of interacting individuals within a defined territory to understand the health needs and issues of that community. This helps in identifying areas for improvement and planning interventions.

Question 16

Since the Intervention Wheel was first published in 1998, what related event has occurred?
A) It has guided national policy.
B) It has been used as a tool in deciding licensure issues for State Boards of Nursing.
C) It has been incorporated into the public health curricula of many nursing programs.
D) It has gained wide acceptance internationally.

Accepted Answer

The Intervention Wheel has been incorporated into the public health curricula of many nursing programs, reflecting its educational impact and utility in training future nurses.

Question 17

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.

Accepted Answer

The Intervention Wheel originated from a grounded theory process conducted by public health consultants at the Minnesota Department of Health.

Question 18

A public health nurse (PHN) is conducting a community assessment. Which of the following is the best example of this action?
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

Accepted Answer

Compiling recent data from the county health department on child abuse cases is the best example of conducting a community assessment because it involves gathering and analyzing data to understand health-related issues affecting the community at large, rather than focusing on individual care or specific clinical interventions.

Question 19

A nurse promotes alliances among organizations for a common purpose. Which of the following public health interventions is being implemented?
A) Health teaching
B) Coalition building
C) Surveillance
D) Referral and follow-up

Accepted Answer

Coalition building involves promoting alliances among organizations or groups for a common purpose, which is what the nurse is doing by fostering collaboration among different entities.

Question 20

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.

Accepted Answer

The Intervention Wheel is a model that provides a graphic illustration of population-based public health practice, highlighting the scope of interventions that public health nurses can employ to promote and protect the health of populations.

Quiz 11: Population-Based Public Health Nursing Practice: the Intervention Wheel

What levels of practice are encompassed by the Intervention Wheel?

A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease. Which of the following public health interventions is being applied?

Public health nurses (PHNs) utilize registries to identify children with delayed or missing immunizations. They subsequently follow up with families by phone calls or home visits. Which of the following levels of practice is being implemented?

Public health interventions are implemented with:

An occupational health nurse works with an employer to develop a workplace wellness program for its employees. Which of the following levels of practice is being implemented?

A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community. Which of the following levels of practice is being demonstrated?

Public health nurses (PHNs) across the United States implement similar types of interventions to improve the health of various groups. Which of the following explains why a common set of interventions is used?

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

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

A public health nurse (PHN) utilizes the nursing process at all levels of practice. Which of the following demonstrates how this is accomplished?

A public health nurse (PHN) is implementing the public health intervention of health teaching at the systems level of practice. Which of the following interventions is most likely being implemented by the nurse?

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

A public health nurse (PHN) is using collaboration, coalition building, and community organizing to develop a new program in the community. Which of the following strategies is the nurse most likely using?

A public health nurse (PHN) is implementing interventions at the systems level of practice. Which of the following interventions would be used by the nurse?

A public health nurse (PHN) is conducting an assessment of the community's health. Which of the following is being accomplished through this activity?

Since the Intervention Wheel was first published in 1998, what related event has occurred?

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

A public health nurse (PHN) is conducting a community assessment. Which of the following is the best example of this action?

A nurse promotes alliances among organizations for a common purpose. Which of the following public health interventions is being implemented?

Which statement about the Intervention Wheel is true?