Community Health Nursing Chapter 9

Community Health Nursing Chapter 9 Which statement about the Intervention Wheel is true? a. It provides a graphic illustration of population-based public health practice. b. It describes in detail the components of public health nursing. c. It demonstrates the practice of community health nurses for policy and lawmakers. d. It is a framework used by all health departments in the United States. Ans- a. It provides a graphic illustration of population-based public health practice. Since the Intervention Wheel was first published in 1998, it has: a. Guided national policy b. Been used as a tool in deciding licensure issues for State Boards of Nursing c. Been incorporated into the public health curricula of many nursing programs d. Gained wide acceptance internationally Ans- c. Been incorporated into the public health curricula of many nursing programs Public health interventions are implemented with: a. Legislators, policy makers, and community leaders b. Individuals and families, communities, and systems c. Children, adolescents, and adults d. Health departments, public health agencies, and visiting nurses associations Ans- b. Individuals and families, communities, and systems Which statement is true about the origins of the Intervention Wheel? a. A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin developed and refined the Intervention Wheel. b. It was conceived by a group of international nurses from Norway, Kazakhstan, and Japan. c. It was a result of a qualitative analysis carried out by the State Boards of Nursing. d. It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health. Ans- d. It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health. When public health nurses conduct an assessment of a community's health, they a. Define one problem that will be the focus for a year. b. Assess a social network of interacting individuals usually in a defined territory. c. Minimize the effects of health risks and hazards. d. Intervene at the population-level by changing laws and regulations. Ans- b. Assess a social network of interacting individuals usually in a defined territory. A public health nurse utilizes the nursing process at all levels of practice by: a. Including specific goals for community health nurses b. Developing an accurate nursing diagnosis c. Analyzing the needs of the community, system, and individuals and families d. Utilizing primary, secondary, and tertiary prevention Ans- c. Analyzing the needs of the community, system, and individuals and families Public health nurses use a common set of interventions to: a. Describe the proper order of implementation. b. Emphasize surveillance as the main focus of public health practice. c. Guide practice and generate agency protocols. d. Improve the health status of communities, systems, individuals, and families. Ans- d. Improve the health status of communities, systems, individuals, and families. A public health nurse uses Assumption 2, "Public health nursing practice focuses on populations," to guide practice. Which would be considered a population of interest? a. Healthy school children b. Homeless individuals c. A person recently diagnosed with diabetes d. Teenage parents Ans- a. Healthy school children What is the purpose of the color-coded wedges on the Intervention Wheel? a. The interventions are grouped together in related wedges. b. The wedges consist of referral information for each wedge. c. The element of health teaching is the predominant feature of each wedge. d. Coalition building must be implemented with each wedge. Ans- a. The interventions are grouped together in related wedges. A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which intervention? a. Screening b. Referral and follow-up c. Surveillance d. Health teaching Ans- a. Screening A nurse promotes alliances among organizations for a common purpose. Which public health intervention is being implemented? a. Health teaching b. Coalition building c. Surveillance d. Referral and follow-up Ans- b. Coalition building A nursing student develops a teaching plan about hand washing to present to a group of elementary school children at the local school. Which public health intervention is being implemented? a. Collaboration b. Surveillance c. Health teaching d. Screening Ans- c. Health teaching A public health nurse uses collaboration, coalition building, and community organizing when: a. Providing case management, referral, and follow-up services with individuals b. Carrying out collective action at the systems or community levels of practice c. Conducting a community assessment d. Implementing primary and secondary prevention strategies Ans- b. Carrying out collective action at the systems or community levels of practice The levels of practice encompassed by the Intervention Wheel are: a. Communities, individuals and families, and systems b. Assessment, diagnosis, and evaluation c. Primary, secondary, and tertiary d. Communities, populations, and aggregates Ans- a. Communities, individuals and families, and systems Public health nurses utilize registries to identify children with delayed or missing immunizations. They subsequently follow up with families by phone calls or home visits. This is an example of ____-level of practice. a. Systems b. Community c. Policy d. Individual/family Ans- d. Individual/family A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community. This intervention is occurring th