Question 1

A nurse is conducting vision screenings on children in the school setting.Which type of nursing practice is the nurse performing?

Accepted Answer

Community-based nursing practice is a setting-specific practice whereby care is provided for clients and families where they live,work,and attend school.Community-oriented nursing emphasizes the prevention of disease and disability.Public health nursing focuses on the care within the community as a whole.Community health nursing focuses on the health status of individuals and the effect of their health status on the community as a whole.

Question 2

A local senator has proposed changes to the health care delivery system in the United States.Based on current trends,which of the following is most likely to occur?

Accepted Answer

Proposed changes in the health care delivery system will provide new opportunities for public health specialists and result in the creation of new roles within the system.The proposed changes will build an integrated system (not isolated),decrease emphasis on acute care services,and focus on health promotion and disease prevention.

Question 3

Which statement about community health nursing practice is correct?

Accepted Answer

By definition,the first option is correct.Public health nursing provides care to protect the health of the community as a whole.Community-based nursing practice emphasizes the setting where care is provided for clients and families.It is generally assumed that a graduate of any baccalaureate program has the necessary basic preparation to function as a beginning staff PHN; however,this is not a requirement for public health nursing or community health nursing practices.

Question 4

A nurse is implementing community-based nursing care.Which of the following nursing interventions is the nurse most likely to complete?

Accepted Answer

Community-based nursing practice is a setting-specific practice whereby care is provided for families where they live,work,and attend school.The focus is on acute and chronic care and the provision of services.Providing care to families is the only intervention that accurately describes this definition.Assessing the health needs of a community,promoting the health needs of an entire community,and investigating environmental health problems in a community would be considered public health nursing practice.

Question 5

The necessary basic preparation for public health nursing is a(n)_____ in nursing.

Accepted Answer

A bachelor of science in nursing (BSN)is the necessary basic preparation to function as a beginning staff PHN.An associate's degree is not enough for basic preparation.A master's degree or Doctor of Nursing Practice degree would be part of preparation for advanced practice.

Question 6

A nurse is using a population focus when providing public health nursing care.Which of the following statements best describes the care that is being provided?

Accepted Answer

PHNs are concerned with the health of the entire population.Priority is given to the entire population,not just the group at highest risk or those outside of institutional settings.Direct caregiving is not the focus of public health nursing care.

Question 7

A nurse is working in the community with an aggregate/population.Who is the nurse most likely to interact with?

Accepted Answer

A population or aggregate is a collection of individuals who have one or more personal or environmental characteristics in common.Members of a community who can be defined in terms of geography or a special interest can be seen as constituting a population.The clients in the first option share a geographical and special circumstance (school)characteristic.Christians around the world are too large of a geographical space.A patient cannot be an aggregate/population as there is no one to interact with.People who drink coffee share a common interest,but may not share a common geographical location to interact.

Question 8

A public health staff nurse has a clear understanding of population-focused practice.Which of the following characteristics would the nurse most likely display?

Accepted Answer

Public health staff nurses who have a clear understanding of population-focused care improve their effectiveness and efficiency of practice; have professional satisfaction by seeing how individual care contributes to health at the population level; and appreciate the practice of others who are population-focused specialists.PHN specialists are prepared at the master's level and function in an administrative role.

Question 9

A PHN provides a clinic for HIV-positive citizens in the community.Which of the following best describe this activity?

Accepted Answer

This clinic is for clients who already have a disease process; therefore,it is tertiary prevention (preventing deterioration in a patient,a relapse,or disability and dependency by anticipatory nursing and medical care).Primary prevention is using general and specific measures in a population to promote health and prevent the development of disease (incidence)and using specific measures to prevent disease in those who are predisposed to developing a particular condition.Health education would involve providing specific education to this population.Policy making is formulating plans by an organization in order to make decisions.

Question 10

A nurse is working in a community health nursing practice setting.Which of the following is the nurse most likely to implement?

Accepted Answer

Community health nursing practice focuses on the health of individuals,families,and groups and the effect of their health status on the health of the community as a whole.Administrating a flu shot to an individual is the only example that meets this criterion.Performing a client assessment focuses only on individual care and not the community.Providing supervision of staff does not focus on the community.Conducting a flu shot clinic at a community center focuses on protecting the community as a whole and would be considered public health nursing practice.

Question 11

Which of the following are considered barriers to public health nursing? (Select all that apply.)

Accepted Answer

Barriers exist in thinking that nurses only work in a hospital at the bedside,the process of role socialization in public health which can be a very autonomous profession,and that few nurses have had advanced education in public health.The number of job opportunities continues to increase,but the amount of funding allotted to public health continues to decline.

Question 12

A PHN has been prepared at the graduate level.Which of the following activities should the practitioner be able to complete?

Accepted Answer

According to the Consensus Conference,specialists should have assessment skills that allow them to intervene at the aggregate level.Public health practitioners have a broad range of practice areas within public health and are not limited to only nursing and medicine.

Question 13

PHNs are looking to improve population-focused care in the community.Which of the following best describes a key opportunity for the nurses to accomplish this goal?

Accepted Answer

PHNs must move into positions in which they can influence policy formation.They must assume positions that are not traditionally considered nursing.Conducting community assessments is part of public health nursing practice,not necessarily a key opportunity to improve practice.Specializing in community-based nursing practice is setting-specific and does not relate to a key opportunity to improve population-focused care.

Question 14

The nurse is investigating environmental health problems caused by contaminated ground water.Which of the following types of nursing practice is being used?

Accepted Answer

Community-oriented nursing emphasizes the prevention of disease and disability.Community-based nursing practice is a setting-specific practice whereby care is provided for clients and families where they live,work,and attend school.Policy development seeks to build constituencies that can help bring about change in public policy.Tertiary care focuses on highly specialized medical care.

Question 15

A population is best defined as a:

Accepted Answer

A population or aggregate is a collection of individuals who have one or more personal or environmental characteristics in common.High risk groups,school or institutional setting,and geographical location within the community all describe types of populations,not the definition of population.

Question 16

Population-focused practice focuses on defining the problems or needs of and implementing solutions for:

Accepted Answer

Aggregates are a defined population made up of individuals in communities of a specific geographical region.Population-focused practice is implemented with defined populations or subpopulations.This is larger than the scope of individual care,but may not address the larger needs of the entire community or geographical region.

Quiz 1: Community and Prevention-Oriented, Population-Focused Practice: The Foundation of Specialization in Public Health Nursing