Community Health Nursing Unit One Quiz Questions and answers all correct

Community Health Nursing Unit One Quiz Questions In 1988 the Institute of Medicine (IOM) published a report on the future of public health and its mission that defined public health as: Correct Answer: What society does collectively to ensure the conditions in which people can be healthy. A registered nurse is seeking a position as a public health nurse. In reviewing the job description the nurse would expect to find a description of a position that focused on functions such as: Correct Answer: Partnering with local seasonal farmworkers to design a program aimed at preventing illness and injury, and advocating for this population with local political and community leaders. A public health nurse leader is encountering barriers when trying to shift the public health agency's efforts to a population-focused practice. The reasons peers are not supportive of the proposed shift to a population focus are most likely related to: Correct Answer: Opinions that nursing should focus on the provision of direct client care and services. The role and goals of the community health nursing practice can best be described as: Correct Answer: Population-level strategies aimed at promoting, preserving, and maintaining the health of populations through the delivery of personal health care services to individuals, families, and groups in an effort to improve the health of the community as a whole. A community-oriented nurse has identified obesity as a problem in the middle school. The next step in a population-focused practice is to make information available about the health of the middle school students. This describes the core public health function of: Correct Answer: Assessment The state public health agency has received multiple complaints regarding the availability of elder transportation services to a specific county senior center. The state agency assigns a public health nurse to work with the community to evaluate its program for elder transportation services to publicly sponsored eldercare programs. The public health core function applied is: Correct Answer: Assurance A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high schools is providing: Correct Answer: Community-oriented care. A community-oriented nurse conducts home visits to new parents to assess the health status of the infant, the parent-child relationship, the parents' knowledge regarding the care of the infant, and the need for health department and social services referrals to support the needs of the new parents and the infant. This can best be described as an example of: Correct Answer: Clinical community health practice. Nurses should consider opportunities for population-focused practice that result from the rapid transformation of health care delivery from a medical model to a health promotion/disease prevention model. An example of such opportunity is: Correct Answer: Director of clinical services spanning inpatient and community-based settings that provide a wide range of services to the populations seen by the system. Public health nursing specialists are interested in which of the following topic(s)? Select all that apply. Correct Answer: -Evaluation of an outreach program for at-risk pregnant teenagers. -Community subpopulations with high rates of type 2 diabetes. -Prevalence of hypertension among various age, race, and gender groups. In 1925, Mary Breckenridge established the Frontier Nursing Service (FNS) based on a system of care used in the highlands and islands of Scotland. Changes in public support for community and public health nursing and away from individual commitment and private financial support led to innovations in health care delivery in the twentieth century, especially for underserved populations. One of Breckenridge's innovative contributions to health care in the United States was: Correct Answer: Introduction of the first nurse-midwifery training. The most important contribution made by Florence Nightingale to community-oriented nursing was: Correct Answer: Expansion of the role of nursing to include health-promotion practices. The Social Security Act of 1935 was designed to prevent the reoccurrence of the problems of the depression. Title VI of this act provided funding for expanded opportunities for health protection and promotion. The most relevant strategy related to this objective for public health nursing was: Correct Answer: Provision of funding to support employment and education. In 1902, Lillian Wald introduced the concept of school nursing to address the problem of school absenteeism. The primary model for the school nurse program was to work with children in the schools and make home visits for the purpose of: Correct Answer: Providing and obtaining medical treatment for absent students. From a historical perspective, the post-Depression shift in the U.S. Congress to the practice of categorical funding that provides federal money for priority diseases or groups has to this day produced a negative effect on the delivery of health care services that can best be described as: Correct Answer: National preference service model that neglects emerging problems. During the Depression of the 1930s, many federal agencies attempted to support the employment of basic nurses by increasing the demand for existing and new nursing services that meet the needs of the increasing ranks of impoverished individuals. Although this facilitated rapid program expansion for recipient public health agencies and gave many nurses a taste of public health, the specialty of public health nursing was negatively affected by: Correct Answer: Decrease in focus on the community as the unit of service. The Association of Community Health Nurse Educators has called for increased graduate programs to educate public health nurse leaders, educators and researchers to address unmet community and neighborhood needs in such areas as (select all that apply): Correct Answer: -Immigrant and migrant health. -Natural and human-made disasters. -Potential bioterrorism. -Student health. -Rural health. -Chronic disease management. In the middle of the nineteenth century, there was increased national interest in addressing public health problems and improving urban living conditions. Which of the recommendations of the Shattuck Report in Massachusetts represented major innovations in public health during that period (select all that apply)? Correct Answer: -Establishment of state health departments and local health boards in every town. -Promotion of environmental sanitation and collection of vital statistics. -Steps to decrease preventable disease and control smoking and alcohol use. The poor environmental conditions experienced by immigrants in tenement houses and sweatshops were familiar features of urban life across the northeastern United States and the upper Midwest. Which of the following factors assisted community-oriented nursing pioneers, such as Lillian Wald, in developing approaches and programs to solve the health care and social problems of the times (select all that apply)? Correct Answer: -Community health's focus on teaching and prevention. -Establishment of settlement houses. -Middle and upper class fear of diseases. The early pioneers in public health nursing were instrumental in the founding of the National Organization for Public Health Nursing (NOPHN) in 1912. This organization served as the dominant force in public health nursing until 1952 and sought to standardize public health nursing education to ensure that nurses received more than hospital-oriented training. Other major accomplishments included what initiatives (select all that apply)? Correct Answer: -Collaborated to secure health insurance reimbursement for nursing services, such as postdischarge nursing care at home. -Established public health nursing programs for military outposts in World War I. -Responded to the 1918 worldwide influenza pandemic in the United States. The Healthy Communities and Cities movement can best be described as which of the following? Correct Answer: Movement that began in Europe in 1986, which is now an international movement of communities and cities focused on mobilizing local resources, including political, professional, and community members, in an effort to improve the health of the community. A nurse has decided to use a bottom-up approach of Healthy Communities and Cities (HCC) to meet Healthy People 2020 goals for the community setting. Which would be the most appropriate intervention? Correct Answer: Work with local city council members, health care providers, and community members to choose, design, and implement a culturally appropriate health promotion activity for older adults. The Healthy Communities and Cities (HCC) movement emphasizes a bottom-up approach to community practice. The Community Health Promotion Model is a bottom-up community practice model that includes multisectoral planning and action for health, which is consistent with a locality development model (bottom-up approach). The aspects of the locality development model that have been integrated can best be described as which of the following (select all that apply)? Correct Answer: - Building a sense of community - Emphasizing consensus and cooperation. A nurse expands a community exercise program to include a senior exercise program targeted at strength and balance training in response to the Healthy Communities and Cities initiative to address the needs of free-living elders in the local community. The nurse is most likely applying the Ottawa Charter for Health Promotion priority health promotion activity of: Correct Answer: Reorienting health services. The Community Health Improvement Model: Step 3-Development of the Community Structure for Health Promotion supports the development of local collaborative partnerships to enhance the objectives of Healthy Communities and Cities. The collaborative partnership best practice of "identifying specific community and system changes to be sought to effect widespread behavior change and community health improvement" would best apply to which concept of the Ottawa Charter for Health Promotion strategic framework? Correct Answer: Strengthening community action. The Ottawa Charter adopted by the Healthy Communities and Cities movement defined health promotion as the process of enabling people to take control over and to improve their health by enabling community members to increase control over and assume more responsibility for health; mediating among public, private, voluntary, and community sectors; and advocating on behalf of people who are powerless to make the changes necessary to promote health. The charter identified the most effective health promotion action as: Correct Answer: Developing health-promoting public policy Instrumental in the development of Healthy Communities and Cities is the concept of primary health care, which refers to meeting the basic health needs of a community by providing readily accessible health services. Primary health care seeks to provide affordable social, biomedical, and health services that are relevant and acceptable in terms of the individual's health, needs, and concerns. This is the primary health care principle of: Correct Answer: Affordable technology Nurses working with communities to implement the Community Health Promotion Model (CHPM) are most effective when they: Correct Answer: Begin where the community is and then work to facilitate implementation of all nine steps. An example of tertiary prevention related to Healthy Communities and Cities is: Correct Answer: Initiating an evaluation of a program to address endemic hepatitis A in a community. The Healthy Communities and Cities model process relies on a problem-solving approach to achieve goals. The best example of this approach is: Correct Answer: Community-oriented nurses using the nine-step Community Health Improvement Model to encourage and empower community members to take responsibility for change. The three components of the Intervention Wheel are: Correct Answer: Population base, levels of practice, and public health interventions. Public health nursing practice is guided by the community's priorities as identified by community: Correct Answer: Assessment. Collaboration is an intervention that would be located where in the Intervention Wheel? Correct Answer: Orange wedge at the community level of practice. The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors, and practices of the population of interest is referred to as: Correct Answer: Social marketing. Promotion of the creation of immunization registries that combine immunization information from different sources into a single electronic record to provide official immunization records for schools, daycare centers, health departments, and clinics is a goal of: Correct Answer: Systems-level practice. When confirmed cases of the mumps, a vaccine-preventable disease, emerged on college campuses in fall 2006, public health nurses conducted outreach at campuses and collaborated with student health officials to increase the number of students with full immunization