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Community Health Nursing FINAL EXAM Questions and Answers

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Community Health Nursing FINAL EXAM Questions and Answers The public health nurse (PHN) knows that he must approach a public health problem with an understanding of the related underlying risk factors in order to develop effective nursing interventions. He must also consider that these risk factors can be either ______ based or ______ based. a) Epidemic; population b) Disease; individual

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Community Health Nursing FINAL EXAM
Questions and Answers


The public health nurse (PHN) knows that he must approach a public health problem
with an understanding of the related underlying risk factors in order to develop effective
nursing interventions. He must also consider that these risk factors can be either
______ based or ______ based.

a) Epidemic; population
b) Disease; individual
c) Individual; population
d) Intervention; government - ANSW a) Individual; population

If the international medical community was working to contain several worldwide
pandemics, they would look to the World Health Organization (WHO), which is:

a) Working to improve health and well being for the global population
b) The public health arm of the united nations
c) Working with nurses to promote public health interventions
d) All of the above - ANSW d) All of the above

The Institute of Medicine (IOM) stated in their report, The Future of the Public's Health,
that there are three core functions that society carries out to collectively support the
optimum conditions for public health. Which one of the following is not one of these
functions?

a) Assessment
b) Assurance
c) Prevention
d) Policy development - ANSW c) Prevention

With aging, there is an increase in noncommunicable (chronic) illness. The PHN
recognizes that an example of a noncommunicable illness is:

a) Heart disease
b) Severe acute respiratory syndrome (SARS)
c) HIV
d) Hepatitis - ANSW a) Heart disease

The obesity rate in a local neighborhood is partially the product of a limited access to full
service grocery stores and a lack of dedicated safe venues for exercise. This is an

,example of issues related to the "upstream" determinants of public health that contribute
to the ecology of a community's health "downstream." The PHN understands that
upstream determinants include social relations, neighborhoods and communities,
institutions, and ____.

a) Tertiary nursing interventions
b) Availability of medicine to treat disease
c) Increasing the number of primary care provider
d) Social and economic policies - ANSW d) Social and economic policies

A nursing instructor is giving a lecture on community participation in an ecological public
health system. She teaches that the benefits of this collaboration for participants in the
community's public health are that their efforts increase effectiveness and productivity,
empower the participants, strengthen social engagement, and ____.

a) Increase the number of medical facilities
b) Decrease disease rates
c) Monitor childhood illnesses
d) Ensure accountability - ANSW d) Ensure accountability

Which layer of government is responsible for issuing quarantines during a
communicable disease outbreak?

a)State
b) Local
c) Federal
d) All of the above - ANSW b) Local

The nursing student is taught correctly that local health departments do not oversee
which of the following?

a) The surveillance of disease
b) Public sanitation and water supply
c) Licensing of local hospitals
d) Investigation of disease outbreaks - ANSW c) Licensing of local hospitals

The PHN recognizes that environmental science, epidemiology, biostatistics, biomedical
sciences, and ______ form the foundational subjects of public health.

a) Social and behavioral sciences
b) The humanities
c) Anthropology
d) economics - ANSW a) Social and behavioral sciences

If a PHN meets the PHN Core Competencies, he or she should be able to do which of
the following? Select all that apply

, a) Work with corporations to create an emergency response program to bioterrorism
b) Create a financial plan for a clinic and manage the budget
c) Function as a medical doctor at a clinic if there is none
d) Understand the dietary restrictions of new immigrants
e) Develop policy for handling a local quarantine - ANSW a) Work with corporations to
create an emergency response program to bioterrorism
d) Understand the dietary restrictions of new immigrants
e) Develop policy for handling a local quarantine

In 2011, the National Prevention Strategy released a plan to increase the number of
Americans who are healthy at every stage of life. Which of the following is not one of the
strategic directions included in the strategy?

a) Eliminating health disparities
b) Building healthy and safe community efforts
c) Increasing access to care
d) Empowering people to make healthy choices - ANSW c) Increasing access to care

A nursing student is studying the seven priorities of the National Prevention Strategy.
The student correctly identifies which one of the following interventions as not reflecting
any of the seven priorities in this plan?

a) Conducting a smoking cessation clinic
b) Assisting low-income families to sign up for health-care insurance
c) Providing nutrition classes which offer weekly fill-in guides for grocery shopping
d) Building a health and exercise center in a hospital near the physical and occupational
therapy areas - ANSW b) Assisting low-income families to sign up for health-care
insurance

If a nurse is using the natural history of a disease to help develop a primary prevention
program for a specific disease, he or she would begin with:

a) Making sure that everyone in a certain area receives treatment.
b) Studying the continuum of the disease with a focus on the disease free state.
c) Looking at screening tools for identifying person who may have the disease.
d) Going to the autopsies of the patients who have died. - ANSW b) Studying the
continuum of the disease with a focus on the disease free state.

When a health-care provider offers nutritional health teaching on portions, patterns, and
choices, he or she is using which type of approach?

a) Ecological
b) Downstream
c) Upstream
d) Health promotion - ANSW b) Downstream

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