Test bank public health science nursing practice savage kub grove sample

1-2 Heading: Introduction to Public Health Integrated Processes: Nursing Process Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Comprehension [Unders

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Chapter 1: Public Health and Nursing Practice

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MULTIPLE CHOICE

1 The public health nurse (PHN) knows that he must approach a public health problem with an

understanding of the related underlying risk factors in order to develop effective nursing interventions

He must also consider that these risk factors can be either based or based

A Disease; individual

B Intervention; Government

C Epidemic; population

D Individual; population

ANS: D

Objective: 6 Identify the key roles and responsibilities of public health nurses (PHNs)

pp 1-2

Heading: Introduction to Public Health

Integrated Processes: Nursing Process

Client Need: Physiological Integrity: Reduction of Risk Potential

Cognitive Level: Comprehension [Understanding]

Concept: Assessment; Promoting Health; Critical Thinking

Difficulty: Easy

Feedback

locations but the risk factors can be different

evidence of public health studies

disease-based approach

basis or as part of a larger health problem within a population

2 A nursing student is studying public health She learns that, according to C.E.A Winslow’s definition, some of the goals of public health are disease prevention, promoting health, control of communicable infections, and

A Risk assessment for disease

B Birth control

C Education on personal hygiene

D Governmental safety regulations

ANS: C

Objective: 1 Describe public health in terms of current frameworks and organization from a local to a global perspective

p 2

Heading: Introduction to Public Health > What Is Public Health?

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

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Cognitive Level: Application [Applying]

Concept: Infection; Nursing Roles; Promoting Health

Difficulty: Easy

Feedback

health

3 If the international medical community was working to contain several worldwide pandemics, they would look to the World Health Organization (WHO), which is

A The public health arm of the United Nations

B Working to improve health and well-being for the global population

C Working with nurses to promote public health interventions

ANS: D

pp 1-2

Client Need: Health Promotion and Maintenance

Concept: Promoting Health; Health-Care System; Management; Safety

Difficulty: Easy

Feedback

health within the United Nations system.”

patients in order for them to make informed decisions

toward both of the above mentioned goals

4 The Institute of Medicine (IOM) stated in their report, The Future of the Public’s Health, that there are

three core functions that society carries out to collectively support the optimum conditions for public health Which one of the following is not one of these functions?

A Prevention

B Assessment

C Policy development

D Assurance

ANS: A

Objective: 4 Investigate the role of environment and culture in the health of populations

pp 2

Heading: Introduction to Public Health > What is Public Health?

Integrated Processes: N/A

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Concept: Assessment; Promoting Health

Difficulty: Easy

Feedback

development, and assurance have prevention as an implied goal of each function

health problems and needs

public health policies

line with public health goals

5 A nursing instructor is giving a lecture on public health and the importance of maintaining a

population-focused perspective when administering care Which of the following statements might a nursing student hear from the instructor?

A Individual health occurs within the context of the population

B Individual health occurs within the context of the environment surrounding the individual

ANS: D

pp 1-2

Cognitive Level: Application [Applying]

Concept: Evidence-Based Practice; Nursing Roles; Promoting Health

Difficulty: Easy

Feedback

surrounding the individual

individualistic actions Instead, individual health occurs within the context of the

population and the environment surrounding the individual

surrounding the individual

6 With aging, there is an increase in noncommunicable (chronic) illness The PHN recognizes that an example of a noncommunicable illness is

A Heart disease

B Human immunodeficiency virus (HIV)

C Hepatitis

D Severe acute respiratory syndrome (SARS)

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ANS: A

Objective: 2 Compare and contrast the terms commonly used within the context of public health

pp 3-4

Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends Integrated Processes: Nursing Process

Cognitive Level: Comprehension [Understanding]

Concept: Immunity; Infection; Promoting Health

Difficulty: Easy

Feedback

disease

fluids

needle sticks

respiratory fluids in coughing and sneezing

7 A PHN would like to use the Dahlgren-Whitehead model to help herself and other local practitioners understand health in populations She understands that the Dahlgren-Whitehead ecological model assumes that

A There are multiple determinants of health and thus, multiple strategies are needed

B A population and environmental approach is essential

C Linkages and relationships are crucial

ANS: D

pp 3-4

Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Evidence-Based Practice; Promoting Health

Difficulty: Moderate

Feedback

health problem

in assessing risk factors

an individual or a population

relationships regarding population health and how important environment is to said

health Thus, all of the answer choices together are correct

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8 The obesity rate in a local neighborhood is the product of a poor quality grocery store and a lack of

dedicated venues for exercise This is an example of “upstream” determinants of public health

determining the ecology of a community’s health “downstream.” The PHN understands that upstream

determinants include social relations, neighborhoods and communities, institutions, and

A Social and economic policies

B Availability of medicine

C Nursing interventions

D Government programs

ANS: A

pp 3-4

Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends

Concept: Promoting Health; Economics

Feedback

downstream biological and behavioral bases for disease Upstream determinants can

include social and economic policies

determinants of health

9 A nursing instructor is giving a lecture on community participation in an ecological public health

system She teaches that the benefits of this collaboration for participants in the community’s public

health are that their efforts increase effectiveness and productivity, empower the participants,

strengthen social engagement, and

A Decrease disease rates

B Ensure accountability

C Increase the number of medical facilities

D Monitor childhood illnesses

ANS: A

pp 3-4

Concept: Nursing Roles; Promoting Health; Collaboration

Difficulty: Easy

Feedback

improving Community collaboration efforts are a good way to achieve this

health care providers to provide good care is possible through collaboration, but the end

result is better health for all, as in the form of decreased disease rates

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C More facilities are not an assurance that health care will improve Collaboration in the

community ensures that the environment drives good public health

community collaboration

10 The PHN recognizes that which of the following scenarios is not an example of community

collaboration?

A A local service group working to organize disaster relief for tornado victims

B A city council passing an ordinance to stop smoking in restaurants

C An advocacy group working to improve health care for the mentally ill

D A school working with the local health department to start a school clinic

ANS: B

pp 3-4

Concept: Promoting Health; Collaboration

Difficulty: Easy

Feedback

can effect change in government but not legislate

from mental illness

to use each other’s strengths to produce a meaningful project

11 The PHN understands that which layer of government is responsible for issuing quarantines?

A Federal

B State

C Local

ANS: C

pp 4-8

Heading: Introduction to Public Health > Public Health Organization and Management

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Concept: Health-Care System

Difficulty: Easy

Feedback

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A The Constitution did not provide for such an agency, but the Centers for Disease

Control and Prevention (CDC) does public health research Still, quarantines are mostly

managed at the local level

to protect the citizens, but quarantines are mostly managed at the local level

12 The nursing student is taught correctly that local health departments do not oversee

A The surveillance of disease

B Investigation of disease outbreaks

C Licensing of local hospitals

D Public sanitation and water supply

ANS: C

pp 4-8

Heading: Introduction to Public Health > Public Health Organization and Management

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Concept: Nursing Roles; Health-Care System

Difficulty: Easy

Feedback

or township They are watchful for conditions that might spawn disease

13 The PHN recognizes that environmental science, epidemiology, biostatistics, biomedical sciences, and form the foundational subjects of public health

A Economics

B The humanities

C Social and behavioral sciences

D Anthropology

ANS: C

pp 9-10

Heading: Public Health as a Component of Nursing Practice Across Settings and Specialties > Health From a Population Perspective

Client Need: Safe and Effective Care Environment: Management of Care

Concept: Evidence-Based Practice; Nursing

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Feedback

is not considered one of the foundational subjects

issues

14 As defined by the World Health Organization (WHO), an example of a health promotion intervention

is whereas a health promotion, risk reduction is

A A health fair; funding a school health library

B Giving a free exercise class; offering coupons at a restaurant for healthy food

C A free antibiotic giveaway; a diet class for teenagers

D A tour of a hospital; a relaxation technique class

ANS: B

pp 10-11

Heading: Health Promotion, Risk Reduction, and Health Protection

Concept: Promoting Health; Nutrition; Sleep, Rest, and Activity

Difficulty: Easy

Feedback

improve health through participation

health through participation, while a risk reduction refers to actions taken to reduce a

person’s risk for disease

educational, but not promotional

15 According to O’Donnell’s definition of health promotion, how could a public health nurse advise a company to encourage its employees to work toward good health?

A Lower insurance premiums for good health habits

B Have employee exercise classes or discounted health club memberships

C Have incentives for healthy eating

ANS: D

Objective: 3 Discuss current issues related to health promotion and health protection

pp 10-11

Heading: Health Promotion, Risk Reduction, and Health Protection

Concept: Nutrition; Sleep, Rest, and Activity; Promoting Health; Health-Care System

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Feedback

PTS: 1

CON: Nutrition | Sleep, Rest, and Activity | Promoting Health | Health-Care System

16 According to Issel, when planning a health intervention in a diverse community concerning improving diet, the factor that must be evaluated (which includes shared geographic origin, language and dialect, religious faith, folklore, and food preferences) is termed

A Race

B Culture

C Ethnicity

D Custom

ANS: C

pp 11-13

Heading: Health Promotion, Risk Reduction, and Health Protection > The Context of Health

Concept: Diversity; Promoting Health

Feedback

folklore, and food preferences

MULTIPLE RESPONSE

17 Globalization, which is a new challenge for public health, includes which of the following problems? Select all that apply

ANS: A, B, D, E

pp 3-4

Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends

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Concept: Addiction; Promoting Health; Economics; Safety

Difficulty: Easy

Feedback

health care, clean drinking water, and nutritious food This creates even greater health

disparities between rich and poor

toxic chemicals

more than newer technology

the problems that accompany it

AIDS, severe acute respiratory syndrome, hepatitis, malaria, diphtheria, cholera, and Ebola There is a need for planning for these possible pandemics using limited resources

18 Several nurses who work in the emergency room of an urban hospital notice that a sizable number of children in a certain ethnic population have come in with an illness, all presenting with similar

symptoms The nurses, who are not public health specialists, can intervene in the health of a

community through their work with individuals by doing which of the following?

Select all that apply

ANS: B, C, D, E

p 14

Heading: Health Promotion, Risk Reduction, and Health Protection > Population-Focused Care Across

Settings and Nursing Specialties

Concept: Infection; Assessment; Promoting Health

Feedback

whether this is the same illness

and help create a care map

intervention

occurred and prevent a re-occurrence of the illness

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