Question 1

A nurse is striving to practice client-centered care at a hospital. Which action best exemplifies providing client-centered care?

Accepted Answer

Client-centered care focuses on involving the client in their own care and decision-making process. Having a client complete a self-reported functional status indicator and then reviewing it with the client directly involves the client in their care, making it the best example of client-centered care among the given options.

Question 2

A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. Which social determinant would the nurse predict are most likely influencing this client's choices? (Select all that apply.)

Accepted Answer

A, B, D, E

Question 3

A nurse successfully persuades an obese client to perform a weekly weigh-in at home using a digital scale and record the weight in a log. Which strategy is the nurse implementing in this case?

Accepted Answer

The nurse is encouraging the client to take personal responsibility for their health by actively participating in monitoring their weight, which is a form of self-care and personal health management.

Question 4

A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best exemplifies public health?

Accepted Answer

Facilitating a community-wide smoking cessation program directly impacts the health of the public by addressing a common health risk, aligning with the goals of public health to promote and protect the health of populations.

Question 5

Public health nursing is distinguished from other specialties by adherence to eight principles. Which principle will a public health nurse prioritize when providing care?

Accepted Answer

Public health nursing primarily focuses on the population as the whole "client" rather than on individual patient care, distinguishing it from other nursing specialties.

Question 6

Public health nursing is distinguished from other specialties by adherence to eight principles. Which principle will a public health nurse prioritize in the community?

Accepted Answer

Public health nursing primarily focuses on primary prevention of illness in the community, aiming to prevent health issues before they occur. This is a key principle that distinguishes it from other nursing specialties, which may focus more on individual care or treatment after illness has developed.

Question 7

A high school graduate is interested in pursuing public health nursing after shadowing the local public health nurse in the community. Which principles will this student be introduced to in preparing for this career path? (Select all that apply.)

Accepted Answer

The answer of A high school graduate is interested in...

Question 8

A group of student nurses are preparing a poster that will depict the responsibilities of nurses in the late 1800s. Which duties should the students include in the section illustrating some of the duties of nurses in England?

Accepted Answer

In the late 1800s, nurses in England had a more traditional role that was heavily focused on assisting physicians rather than performing independent medical tasks. Reporting facts to and asking questions of physicians were key duties, as nurses were expected to be the eyes and ears of the doctors in the wards, helping to communicate patient needs and observations.

Question 9

The public health nurse is preparing to lead a discussion at the local library centering on improving health in the local community. Which goal from the Healthy People 2020 should the nurse prioritize?

Accepted Answer

The answer of The public health nurse is preparing to...

Question 10

A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural community that currently lacks access to them. Which type of intervention is the nurse implementing in this community?

Accepted Answer

The answer of A nurse is coordinating a plan to...

Question 11

The nurse is locating populations in her region who are exposed to lead-based paint and providing them with information regarding the dangers of lead poisoning. Which intervention is this nurse prioritizing in this outreach?

Accepted Answer

Outreach involves actively seeking out populations who may be at risk of health issues, in this case, lead poisoning due to exposure to lead-based paint, and providing them with information and resources. This intervention focuses on education and prevention by directly engaging with the community.

Question 12

A public health nurse is preparing a poster to share at Career Day at the local high school to encourage students to consider entering the public health field. Which 20th century achievements should this nurse point out as significant on this poster? (Select all that apply.)

Accepted Answer

Recognition of tobacco as a health hazard, fluoridation of drinking water, and healthier mothers and babies are significant public health achievements of the 20th century.

Question 13

Demographic characteristics indicate that people in developed countries are living longer, healthier lives, yet tremendous health and social disparities exist. Which factor best represents these social determinants of health?

Accepted Answer

Social determinants of health are the conditions in which people are born, grow, live, work, and age. These circumstances are shaped by the distribution of money, power, and resources at global, national, and local levels, which are themselves influenced by policy choices. Social determinants of health include factors like socioeconomic status, education, neighborhood and physical environment, employment, and social support networks, as well as access to healthcare. Option B directly addresses these social conditions, making it the best representation of social determinants of health.

Question 14

A nurse works at a large university medical center but spends most of the time providing care for individuals via monitoring devices. How should the nurse explain the increased use of home monitoring devices when questioned by family members? (Select all that apply.)

Accepted Answer

Home monitoring devices have become more prevalent due to the increased need to deliver healthcare to medically underserved populations (B), advances in technology that allow for the assessment of clients' conditions in their homes (C), and the capability to perform assessments in real time using internet video systems (D). These factors contribute to the expansion of remote healthcare services, enabling nurses and other healthcare providers to monitor and assist patients more efficiently outside of traditional healthcare settings.

Question 15

Personal responsibility for health involves active participation in one's own health through education and lifestyle changes. Which exemplify personal responsibility? (Select all that apply.)

Accepted Answer

These choices involve actively managing one's health through informed decisions, lifestyle changes, and adherence to medical advice, which are key aspects of personal responsibility for health.

Question 16

A nurse who has been providing care to the local community for many years has noted an increase in the number of acute and chronically ill people in the community who require professional nursing care. Which is one factor that the nurse can point out as having greatly contributed to the increase in this situation?

Accepted Answer

An increase in ambulatory surgery has contributed to more people being treated and released the same day, which can lead to an increase in the need for professional nursing care at home for recovery, thus affecting the community's health care needs.

Question 17

A group of nursing students are exploring the various options available for specialized training and are considering public health nursing. Which organization should these students research online to discover the essentials of public health nursing and the activities and accountabilities that are characteristics of practice at all levels and settings?

Accepted Answer

The American Nurses Association (ANA) provides comprehensive resources and guidelines on public health nursing, including the scope and standards of practice.

Question 18

A high school graduate has decided to pursue a career in public health nursing. Which represents the minimum educational credential that this student will need to obtain entry into public health nursing practice?

Accepted Answer

To enter into public health nursing practice, the minimum educational credential required is a Baccalaureate degree in nursing. This level of education provides the foundational knowledge and skills necessary for the broad scope of practice in public health.

Question 19

A team of nursing students are to present an oral report that will outline the various accomplishments of individuals throughout the history of nursing. Which individual pointed out that much of the ill health and disability in American cities in 1850 could be traced to unsanitary conditions?

Accepted Answer

Lemuel Shattuck is known for his 1850 report that highlighted the impact of unsanitary conditions on public health, laying the groundwork for public health reform in the United States.

Question 20

During the Civil War, a nurse made history by distributing supplies to wounded soldiers and caring for the casualties with the help of a team of nurses. Which individual accomplished this and, in the process, changed the course of nursing practice?

Accepted Answer

Clara Barton is renowned for her work during the Civil War, where she provided supplies and care to wounded soldiers. Her efforts laid the groundwork for the American Red Cross, which she founded, significantly impacting nursing and humanitarian aid.

Quiz 1: Public Health Nursing: Present, Past, and Future