Download test bank public health science nursing practice savage kub grove

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

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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

A

His approach cannot be disease based, as diseases can affect populations in multiple

locations but the risk factors can be different

B

Interventions occur after the public health event, and governments can only follow

the evidence of public health studies

C

An epidemic is an occurrence of a disease and has the same limitations as a

diseasebased approach

D

Nurses may work with patients to assess risk and intervene on a one-to-one,

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

PTS: 1 CON: Assessment | Promoting Health | Critical Thinking

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

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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

Cognitive Level: Application [Applying]

Concept: Infection; Nursing Roles; Promoting Health

Difficulty: Easy

Feedback

A

Risk assessment is considered a part of disease prevention

B

Birth control is not considered to be one of the goals of public health.

C

Health education and the promotion of healthy lifestyles are essential parts of

public health

D

The goal of public health is to guide governmental policy but not to create regulations

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

D All of the above

ANS: D

a global perspective pp 1-2

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

Easy

Feedback

A

The World Health Organization (WHO) is the “directing and coordinating authority

for health within the United Nations system.”

B

The WHO has the capability to monitor global epidemiological situations

C

The WHO brings resources and knowledge to nurses who are working directly

with patients in order for them to make informed decisions

D

This is correct The WHO is the public health arm of the United Nations and

works toward both of the above mentioned goals

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PTS: 1 CON: Promoting Health | Health-Care System | Management | Safety

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

Concept: Assessment; Promoting Health

Difficulty: Easy

Feedback

A

Prevention is not considered a core function of public health, as assessment, policy

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

B

Assessment focuses on analysis and collection of data, as well as the monitoring

of health problems and needs

C

Policy development uses the acquired knowledge from assessments to create

useful public health policies

D

Assurance creates trust in health-care agencies to provide necessary services that are in

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

C Individuals achieve health at the individual level through individualistic actions D. Both 1 and 2

ANS: D

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

1-2

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

Easy

Feedback

A

Individual health occurs within the context of both the population and the environment surrounding the individual

B

Individual health occurs within the context of both the population and the environment surrounding the individual

C

Individuals do not achieve health at the individual level through uninformed,

individualistic actions Instead, individual health occurs within the context of

the population and the environment surrounding the individual

D

Individual health occurs within the context of the population and the

environment surrounding the individual

PTS: 1 CON: Evidence-Based Practice | Nursing Roles | Promoting Health

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)

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

Concept: Immunity; Infection; Promoting Health

Difficulty: Easy

Feedback

A

Heart disease cannot be transmitted between humans, so it is a

noncommunicable disease

B

Human Immunodeficiency virus (HIV) is transmitted between humans through body

fluids

C

Hepatitis is transmitted between humans through blood exchanged in transfusions

and needle sticks

D

Severe acute respiratory syndrome (SARS) is transmitted between humans through

respiratory fluids in coughing and sneezing

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PTS: 1 CON: Immunity | Infection | Promoting Health

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

D All of the above

ANS: D

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

A

Location and social systems are two of many determinants in the ecology of a

public health problem

B

This model asserts that the environment of the affected population is a key

component in assessing risk factors

C

Social systems, families, and communities play a role in the health or lack of health

for an individual or a population

D

The Dahlgren-Whitehead model is key to understanding the layers of influence

and relationships regarding population health and how important environment is to

said health Thus, all of the answer choices together are correct

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

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

3-4

Concept: Promoting Health; Economics

Feedback

A

Upstream refers to determinants of health that are somewhat removed from the

more downstream biological and behavioral bases for disease Upstream

determinants can include social and economic policies

B

Availability of medicine is not an example of an upstream determinant of health

C

A nursing intervention is not an example of an upstream determinant of health.

D

Government programs do not represent their own category in the upstream

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

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

pp 3-4

Concept: Nursing Roles; Promoting Health; Collaboration Difficulty:

Easy

Feedback

A

Decreased disease rate is a definite sign that the ecology of a health population

is improving Community collaboration efforts are a good way to achieve this

B

Ensuring accountability among members of a community to stay healthy and for the

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

C

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

community ensures that the environment drives good public health

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Avoiding childhood illnesses, not monitoring their onset, is one of the goals of

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

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

pp 3-4

Concept: Promoting Health; Collaboration

Difficulty: Easy

Feedback

A

This collaboration benefits the community’s public health after a natural disaster

B

Community collaboration is considered non-governmental A nongovernmental group

can effect change in government but not legislate

C

A volunteer group can offer valuable services to enhance the lives of people

suffering from mental illness

D

This institution is an example of a social system that can work with a health

department 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

D All of the above

ANS: C

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

pp 4-8

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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

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

B

State constitutions empower the states to establish state boards of health Their duty

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

C

Quarantines are mostly managed at the local level

D

All levels of government are not needed or agile enough to handle local health crises.

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

a global perspective 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

A

Local agencies protect the health of the citizens that live in their county, municipality, or

township They are watchful for conditions that might spawn disease

B

Once there is a disease outbreak, local health departments work to contain it

C

Hospitals are licensed by state and federal agencies, not local health departments.

D

Local agencies monitor waste disposal and the water supply to assure quality.

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

health A Economics

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B The humanities

C Social and behavioral sciences

D Anthropology

ANS: C

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

global perspective

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

Feedback

A

Although economics could be a useful tool to assess the impact of a health program,

it is not considered one of the foundational subjects

B

The humanities are not considered a key component of public health

C

Many branches of social and behavioral sciences are useful for analysis of public health issues

D

The study of man and his development is nonessential to public health

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

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

pp 10-11

Heading: Health Promotion, Risk Reduction, and Health Protection

Integrated Processes: N/A

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

Difficulty: Easy

Feedback

A

Both of these options are health promotions because they create opportunities

to improve health through participation

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This is correct A health promotion intervention creates an opportunity to improve

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

person’s risk for disease

C

A free antibiotic is a health benefit only to those who have an infection

D

While the relaxation techniques class would reduce risk for disease, the hospital tour

is educational, but not promotional

PTS: 1 CON: Promoting Health | Nutrition | Sleep, Rest, and Activity

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

D All of the above

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

Feedback

A

Financial benefits or savings would promote behavioral change

B

Health club memberships would facilitate the employees’ ability for change.

C

Encouraging a good diet through incentives would promote healthy behavior.

D

All of the options listed above promote good health and reduce the risk for illness.

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

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