VERIFIED ANSWERS!!
. In 1988, the Institute of Medicine (IOM) published a report on the future of public health
and its mission that defined public health as:
a. what public-private partnerships do to treat vulnerable populations.
b. what the government does to ensure that vital programs are in place.
c. what the U.S. Public Health Service does to prevent disease, promote health, and deliver
services.
d. what society does collectively to ensure the conditions in which people can be healthy.
correct answers d
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:
a. monitoring pregnant teenagers for symptoms of complications of pregnancy.
b. offering free hypertension screening and treatment referral at local health fairs to low-
income, uninsured, community members.
c. partnering with local seasonal farm workers to design a program aimed at preventing
illness and injury, and advocating for this population with local political and community
leaders.
d. preventing injury among a population of elderly residents in an assisted living facility and
treating residents' chronic illnesses. correct answers c
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:
a. agency colleagues' push for nurses to focus on population initiatives.
b. costs associated with staff training and revision of documents.
c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct client care and services.
correct answers d
The role and goals of the community health nursing practice can best be described as:
a. community-based interventions aimed at promoting, preserving, and maintaining the health
of populations residing in institutional facilities such as nursing homes.
b. education of nurses and other staff working in community-based and community-oriented
settings to improve the overall effectiveness of their programs to meet client needs.
c. 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.
d. activities targeted at improving the health status of clients served by community-based
health service agencies such as hospice and home health agencies. correct answers c
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:
a. assessment.
b. assurance.
,c. policy development.
d. research. correct answers a
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:
a. assurance.
b. policy development.
c. primary prevention.
d. public transportation. correct answers a
A nurse planning a smoking cessation clinic for adolescents in the local middle schools and
high schools is providing:
a. community-oriented care.
b. community-based care.
c. secondary care.
d. tertiary care. correct answers a
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:
a. clinical community health practice.
b. community-based practice.
c. population-focused practice.
d. public health nursing. correct answers a
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:
a. operator of a nurse practitioner-run urgent care center in a major retail location.
b. director of clinical services spanning inpatient and community-based settings that provide
a wide range of services to the populations seen by the system.
c. clinical director of a home health agency.
d. school nurse position in the local high school. correct answers b
. Public health nursing specialists are interested in which of the following topic(s)? (Select all
that apply.)
a. Educational materials for individuals with HIV/AIDS
b. Evaluation of an outreach program for at-risk pregnant teenagers
c. Community subpopulations with high rates of type 2 diabetes
d. New technologies to monitor diabetes
e. Prevalence of hypertension among various age, race, and gender groups correct answers b,
c, e
. 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:
a. establishment of the Federal Emergency Relief Administration.
b. introduction of the first nurse-midwifery training.
c. introduction of the nursing process.
d. introduction of occupational health nursing. correct answers b
The most important contribution made by Florence Nightingale to community-oriented
nursing was:
a. development of the settlement house concept as a strategy to improve urban health
standards.
b. expansion of the role of nursing to include health-promotion practices.
c. founding of the first district nursing association in England.
d. introduction of professional schools of nursing in the United States. correct answers b
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:
a. establishment of an FNS.
b. provision of funding to support employment and education.
c. provision of funding for research and investigation of disease.
d. institution of a district nursing model. correct answers b
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:
a. enforcing the department of health's rules and regulations.
b. excluding infectious children from the school environment.
c. providing and obtaining medical treatment for absent students.
d. providing shoes and clothing for students. correct answers c
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:
a. adoption of 2-year associate degree nursing programs.
b. exclusion of home-based care from health insurance coverage.
c. national preference service model that neglects emerging problems.
d. rise in hospital-based care. correct answers c
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