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1 of 36
Term
A public health nurse (PHN) provides clinic-based services for HIV-
positive citizens in the
community. Which term best describe this activity?
a. Primary prevention
b. Health education
c.Tertiary prevention
d. Policy making
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ANS: C
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.
ANS: B
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.
ANS: C
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.
ANS: A
Assessment consists of systematic data collection and monitoring health status.
Prevention is not a core function, assurance is making sure essential services are
, available,
and policy development is needed to provide leadership in developing policies.
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2 of 36
Term
The public health workforce should demonstrate competency in which
of the following
competency categories?
a. Financial planning and management
b. Workforce needs assessment
c. Acute care services
d. Curriculum development
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ANS: A
Workforce needs assessment, acute care services, and curriculum
developments are not
considered categories of core competencies of public health. Rather there
are eight
categories of competency, which include: (1) analytic/assessment, (2) policy
development/program planning, (3) communication, (4) cultural competence,
(5)
community dimensions of practice, (6) basic public health sciences, (7)
financial planning
and management, and (8) leadership and systems thinking.
, ANS: C
Assurance focuses on the responsibility of public health agencies to ensure certain
activities
have been appropriately carried out to meet public health goals and plans. Policy
development seeks to build constituencies that can help bring about change in
public policy.
Assessment includes activities that involve collecting, analyzing, and disseminating
information on both the health status and the health-related aspects of a
community or a
specific population. Public health is based on scientific knowledge but is not a core
function.
ANS: B
One consequence of successful implementation of the Affordable Care Act might
be that the
majority of the population would be covered by insurance and public health
agencies will
not need to provide direct clinical services in order to assure that those who need
them can
receive them. The Affordable Care Act will not directly cause Americans to pay
closer
attention to their health status or decrease the prevalence of obesity.
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally
induced
infections, such as the avian flu. These threats will divert health care funds and
resources
from other health care programs to be spent for public safety. The others are not
related to
public health or are concerns that have been present for many years.
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3 of 36
Term