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1
Test bank
Page 1 of 445
, Table of Contents:
Chapter 1: Public Health Nursing: Present, Past, and Future
Chapter 2: Public Health Systems
Chapter 3: Health Policy, Politics, and Reform
Chapter 4: Global Health: A Community Perspective
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
Chapter 6: Epidemiology: The Science of Prevention
Chapter 7: Describing Health Conditions: Understanding and Using Rates
Chapter 8: Gathering Evidence for Public Health Practice
Chapter 9: Planning for Community Change
Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
Chapter 11: Community Assessment
Chapter 12: Care Management, Case Management, and Home Healthcare
Chapter 13: Family Assessment
Chapter 14: Risk of lnfectious and Communicable Diseases
Chapter 15: Emerging Infectious Diseases
Chapter 16: Violence and Abuse
Chapter 17: Substance Use
Chapter 18: Underserved Populations
Chapter 19: Environmental Health
Chapter 20: Community Preparedness: Disaster and Terrorism
Chapter 21: Community Mental Health
Chapter 22: School Health
Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
Chapter 24: Palliative and End-of-Life Care
Chapter 25: Occupational Health Nursing
Page 3
,Chapter 1: Public Health Nursing
1. A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies
providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then reviewing it
with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical techniques,
which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the hospital
Correct Answer:- A
Rationale:-
Patient-centered care considers cultural traditions, personal preferences, values, families, and lifestyles. Clients
become active participants in their own care, and monitoring health becomes the client's responsibility. To help
clients and their healthcare providers make better decisions, the Agency for Healthcare Research and Quality (AHRQ)
has developed a series of tools that empower clients and assist providers in achieving desired outcomes, including
client-reported functional status indicators. Computer-assisted robotic surgical techniques, electronic health records,
and continuous glucose monitoring in the hospital are all technological advances in healthcare, but they do not help
the client become a more active participant in his or her care, and thus are not good examples of patient-centered
care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The
nurse should recognize which social determinants of this client's health? (Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Correct Answer:- A, B, D, E
Rationale:-
The social conditions in which people live, their income, social status, education, literacy, home and work
environment, support networks, gender, culture, and availability of health services are the social determinants of
health. These conditions have an impact on the extent to which a person or community possesses the physical, social,
and personal resources necessary to attain and maintain health. A medical error on the part of the client's primary
care provider or nurse would not constitute a social determinant of the client's health.
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. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
Correct Answer:- C
Rationale:-
Personal responsibility for health involves active participation in one's own health through education and lifestyle
changes. In this case, the client makes a positive change in lifestyle by monitoring body weight weekly. Telehealth is
the use of electronic information and telecommunications technologies to support long-distance clinical healthcare,
client and professional health-related education, public health, and health administration. Health information
technology (HIT) is defined as the comprehensive management of health information and its exchange between
consumers, providers, government, and insurers in a secure manner. Evidence-based nursing is the integration of the
best evidence available with clinical expertise and the values of the client to increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
Page 3
, 4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best
exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the year
Correct Answer:- D
Rationale:-
Public health is what society does collectively to ensure the conditions exist in which people can be healthy. A
community-wide smoking cessation program is a great example of a public health intervention, in that it involves the
collective effort of society to improve the health of its members. Reading and applying the latest nursing research is
an example of evidence-based nursing. Instructing a client on how to best care for a suture site at home is an example
of personal responsibility for health, but it is not focused on the health of the greater community. Participating in a
videoconference call with a client who lives in a remote area is an example of patient-centered care and of an
effective implementation of technology, but it is not particularly related to public health.
5. Public health nursing is distinguished from other specialties by adherence to eight principles.
Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
Correct Answer:- A
Rationale:-
The eight domains of public health nursing practice are as follows: Analytic assessment skills, policy development and
program planning skills, communication skills, cultural competency skills, community dimensions of practice skills, public
health science skills, financial planning and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public health nursing interventions but
are not domains of public health nursing practice.
Origin: Chapter 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight principles.
Which is one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills Correct
Answer:- C
Rationale:-
The eight domains of public health nursing practice are as follows: Analytic assessment skills, policy development and
program planning skills, communication skills, cultural competency skills, community dimensions of practice skills, public
health science skills, financial planning and management skills, and leadership and systems thinking skills.
Page 3
1
Test bank
Page 1 of 445
, Table of Contents:
Chapter 1: Public Health Nursing: Present, Past, and Future
Chapter 2: Public Health Systems
Chapter 3: Health Policy, Politics, and Reform
Chapter 4: Global Health: A Community Perspective
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
Chapter 6: Epidemiology: The Science of Prevention
Chapter 7: Describing Health Conditions: Understanding and Using Rates
Chapter 8: Gathering Evidence for Public Health Practice
Chapter 9: Planning for Community Change
Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
Chapter 11: Community Assessment
Chapter 12: Care Management, Case Management, and Home Healthcare
Chapter 13: Family Assessment
Chapter 14: Risk of lnfectious and Communicable Diseases
Chapter 15: Emerging Infectious Diseases
Chapter 16: Violence and Abuse
Chapter 17: Substance Use
Chapter 18: Underserved Populations
Chapter 19: Environmental Health
Chapter 20: Community Preparedness: Disaster and Terrorism
Chapter 21: Community Mental Health
Chapter 22: School Health
Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
Chapter 24: Palliative and End-of-Life Care
Chapter 25: Occupational Health Nursing
Page 3
,Chapter 1: Public Health Nursing
1. A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies
providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then reviewing it
with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical techniques,
which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the hospital
Correct Answer:- A
Rationale:-
Patient-centered care considers cultural traditions, personal preferences, values, families, and lifestyles. Clients
become active participants in their own care, and monitoring health becomes the client's responsibility. To help
clients and their healthcare providers make better decisions, the Agency for Healthcare Research and Quality (AHRQ)
has developed a series of tools that empower clients and assist providers in achieving desired outcomes, including
client-reported functional status indicators. Computer-assisted robotic surgical techniques, electronic health records,
and continuous glucose monitoring in the hospital are all technological advances in healthcare, but they do not help
the client become a more active participant in his or her care, and thus are not good examples of patient-centered
care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The
nurse should recognize which social determinants of this client's health? (Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Correct Answer:- A, B, D, E
Rationale:-
The social conditions in which people live, their income, social status, education, literacy, home and work
environment, support networks, gender, culture, and availability of health services are the social determinants of
health. These conditions have an impact on the extent to which a person or community possesses the physical, social,
and personal resources necessary to attain and maintain health. A medical error on the part of the client's primary
care provider or nurse would not constitute a social determinant of the client's health.
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. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
Correct Answer:- C
Rationale:-
Personal responsibility for health involves active participation in one's own health through education and lifestyle
changes. In this case, the client makes a positive change in lifestyle by monitoring body weight weekly. Telehealth is
the use of electronic information and telecommunications technologies to support long-distance clinical healthcare,
client and professional health-related education, public health, and health administration. Health information
technology (HIT) is defined as the comprehensive management of health information and its exchange between
consumers, providers, government, and insurers in a secure manner. Evidence-based nursing is the integration of the
best evidence available with clinical expertise and the values of the client to increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
Page 3
, 4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best
exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the year
Correct Answer:- D
Rationale:-
Public health is what society does collectively to ensure the conditions exist in which people can be healthy. A
community-wide smoking cessation program is a great example of a public health intervention, in that it involves the
collective effort of society to improve the health of its members. Reading and applying the latest nursing research is
an example of evidence-based nursing. Instructing a client on how to best care for a suture site at home is an example
of personal responsibility for health, but it is not focused on the health of the greater community. Participating in a
videoconference call with a client who lives in a remote area is an example of patient-centered care and of an
effective implementation of technology, but it is not particularly related to public health.
5. Public health nursing is distinguished from other specialties by adherence to eight principles.
Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
Correct Answer:- A
Rationale:-
The eight domains of public health nursing practice are as follows: Analytic assessment skills, policy development and
program planning skills, communication skills, cultural competency skills, community dimensions of practice skills, public
health science skills, financial planning and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public health nursing interventions but
are not domains of public health nursing practice.
Origin: Chapter 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight principles.
Which is one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills Correct
Answer:- C
Rationale:-
The eight domains of public health nursing practice are as follows: Analytic assessment skills, policy development and
program planning skills, communication skills, cultural competency skills, community dimensions of practice skills, public
health science skills, financial planning and management skills, and leadership and systems thinking skills.
Page 3
