Final Exam Public Health Nursing Questions With
Complete Solutions
. When implementing interventions at the systems-level of
practice, the public health nurse would:
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. - ANS: C
Systems-level practice consists of changing laws, policies, and
practices that influence population-based issues.
. Which statement regarding mutations is true?
a. Mutations in the DNA sequence occur on a regular basis.
b. Mutagens are a result of a mutation.
c. Environmental factors can be linked to many mutations.
d. Spontaneous mutations occur because of environmental
exposure. - ANS: C
A large number of agents are known to cause mutations. These
mutations are attributed to known environmental causes. DNA
replication is very accurate, thus, mutations do not occur on a
regular basis. Mutagens are the factors that cause mutations.
Spontaneous mutations occur naturally during DNA replication.
1. A home health case manager is charged with identifying
opportunities for health promotion and illness prevention. The
,fulfillment of this charge would best be demonstrated when the
case manager:
a. collaborates with a local chaplain to ensure that the spiritual
needs of cancer clients are addressed.
b. refers a new diabetic client to a nutrition counselor for dietary
teaching.
c. teaches a school nurse how to care for a client who will be
returning to school and will require new asthma treatments.
d. tracks the immunization status of clients and facilitates access
to immunization when needed. - ANS: D
Case management involves assessment—in this case, screening
—and arrangement for delivery of services. Primary prevention
includes case management to identify at-risk clients and arrange
for services to prevent disease. Through nurse management
activities, general community deficiencies in the quality or
quantity of health services are often discovered. Case
management activities with individual clients and families will
reveal the broader picture of health services in and health status
of the community. Community assessment, policy development,
and assurance activities that frame the core functions of public
health actions are often the logical next step in the nurse case
manager's practice to intervene at the community level to make
changes. Therefore, the core components of case management
and the nursing process are complementary. The nursing process
function of assessment is complementary to the case
management process function of case finding and includes such
activities as applying screening tools according to program goals
and objectives.
,1. A nurse is assigned to provide community outreach to a small
town that was partially destroyed by a tornado 3 years earlier
and has been rebuilt. The first client is a family who lost their
home and their best friend in the tornado. The best intervention
would include:
a. assessment of the family's home environment to rule out
safety issues.
b. avoidance of discussion of the disaster of 3 years ago.
c. consideration that the family will have worked through the
emotional aftermath by now.
d. support of the family in preparing a personal disaster response
plan. - ANS: D
The approach of relief activities needs to shift from short-term
aid to long-term support. Promoting individual, family, and
community preparedness increases safety in the event of disaster
and can help children and adults feel empowered. This builds on
the resilience of the individual, family, and/or community.
Individuals and families still need to be assessed for indications
of mental distress (case finding) and referred to a mental health
professional if the need exists. Open discussions of the family's
response to the slow process of recovery or long-term results of
living under adverse conditions can uncover lingering mental
distress or exacerbations of chronic conditions that require
attention. During the initial stages of recovery environmental
safety issues should have been addressed.
1. A nurse performing home hospice case management notes the
increasing number of hospice clients who lack caregivers in the
home environment. The nurse identifies the potential need for a
, hospice house facility to meet the needs of these clients. The
case management process frequently reveals larger picture
issues such as which of the following?(Select all that apply.)
a. Community cost concerns
b. Community conflict resolution skills
c. Community satisfaction
d. Community weaknesses in quality of services
e. Community weaknesses in quantity of services - ANS: D, E
Case management activities with individual clients and families
very often reveal the larger picture of health services and health
status of a community. General community weaknesses in the
quality and quantity of services often are discovered. The nurse
can then intervene at the community level to initiate changes. In
this case, the nurse identified a deficiency in the quality of
hospice services to individuals who did not have a caregiver in
the home environment and the parallel concern of the lack of
hospice-related facilities to meet the needs of these clients to
achieve a quality dying process.
1. A nurse volunteering at a local homeless shelter notes that
many of the clients have acute and chronic illnesses and are in
need of primary health care services. The most effective strategy
to consider when networking with homeless individuals,
families, or populations is to:
a. form a community partnership to establish a clinic for
homeless persons.
b. create a trusting environment and establish a therapeutic
relationship.
Complete Solutions
. When implementing interventions at the systems-level of
practice, the public health nurse would:
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. - ANS: C
Systems-level practice consists of changing laws, policies, and
practices that influence population-based issues.
. Which statement regarding mutations is true?
a. Mutations in the DNA sequence occur on a regular basis.
b. Mutagens are a result of a mutation.
c. Environmental factors can be linked to many mutations.
d. Spontaneous mutations occur because of environmental
exposure. - ANS: C
A large number of agents are known to cause mutations. These
mutations are attributed to known environmental causes. DNA
replication is very accurate, thus, mutations do not occur on a
regular basis. Mutagens are the factors that cause mutations.
Spontaneous mutations occur naturally during DNA replication.
1. A home health case manager is charged with identifying
opportunities for health promotion and illness prevention. The
,fulfillment of this charge would best be demonstrated when the
case manager:
a. collaborates with a local chaplain to ensure that the spiritual
needs of cancer clients are addressed.
b. refers a new diabetic client to a nutrition counselor for dietary
teaching.
c. teaches a school nurse how to care for a client who will be
returning to school and will require new asthma treatments.
d. tracks the immunization status of clients and facilitates access
to immunization when needed. - ANS: D
Case management involves assessment—in this case, screening
—and arrangement for delivery of services. Primary prevention
includes case management to identify at-risk clients and arrange
for services to prevent disease. Through nurse management
activities, general community deficiencies in the quality or
quantity of health services are often discovered. Case
management activities with individual clients and families will
reveal the broader picture of health services in and health status
of the community. Community assessment, policy development,
and assurance activities that frame the core functions of public
health actions are often the logical next step in the nurse case
manager's practice to intervene at the community level to make
changes. Therefore, the core components of case management
and the nursing process are complementary. The nursing process
function of assessment is complementary to the case
management process function of case finding and includes such
activities as applying screening tools according to program goals
and objectives.
,1. A nurse is assigned to provide community outreach to a small
town that was partially destroyed by a tornado 3 years earlier
and has been rebuilt. The first client is a family who lost their
home and their best friend in the tornado. The best intervention
would include:
a. assessment of the family's home environment to rule out
safety issues.
b. avoidance of discussion of the disaster of 3 years ago.
c. consideration that the family will have worked through the
emotional aftermath by now.
d. support of the family in preparing a personal disaster response
plan. - ANS: D
The approach of relief activities needs to shift from short-term
aid to long-term support. Promoting individual, family, and
community preparedness increases safety in the event of disaster
and can help children and adults feel empowered. This builds on
the resilience of the individual, family, and/or community.
Individuals and families still need to be assessed for indications
of mental distress (case finding) and referred to a mental health
professional if the need exists. Open discussions of the family's
response to the slow process of recovery or long-term results of
living under adverse conditions can uncover lingering mental
distress or exacerbations of chronic conditions that require
attention. During the initial stages of recovery environmental
safety issues should have been addressed.
1. A nurse performing home hospice case management notes the
increasing number of hospice clients who lack caregivers in the
home environment. The nurse identifies the potential need for a
, hospice house facility to meet the needs of these clients. The
case management process frequently reveals larger picture
issues such as which of the following?(Select all that apply.)
a. Community cost concerns
b. Community conflict resolution skills
c. Community satisfaction
d. Community weaknesses in quality of services
e. Community weaknesses in quantity of services - ANS: D, E
Case management activities with individual clients and families
very often reveal the larger picture of health services and health
status of a community. General community weaknesses in the
quality and quantity of services often are discovered. The nurse
can then intervene at the community level to initiate changes. In
this case, the nurse identified a deficiency in the quality of
hospice services to individuals who did not have a caregiver in
the home environment and the parallel concern of the lack of
hospice-related facilities to meet the needs of these clients to
achieve a quality dying process.
1. A nurse volunteering at a local homeless shelter notes that
many of the clients have acute and chronic illnesses and are in
need of primary health care services. The most effective strategy
to consider when networking with homeless individuals,
families, or populations is to:
a. form a community partnership to establish a clinic for
homeless persons.
b. create a trusting environment and establish a therapeutic
relationship.
