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N340 exam 1 practice Questions With Complete Solutions A school nurse teaches three middle school students with asthma conditions techniques to minimize their incidence of bronchial spasms. This is an application of: a. community-based nursing. b. community-oriented nursing. c. institutional nursing. d. public health nursing. a. community-based nursing. The public health nurse deals with the examination of a community setting to determine the community's health status. Which of the following activities should be considered in the assessment phase? Select all that apply. a. Assisting communities to implement and evaluate plans and projects b. Building constituencies to work with the community c. Collecting, analyzing, and disseminating information d. Evaluating the social, economic, and environmental characteristics of the population e. Questioning the availability of health services to the community
c. Collecting, analyzing, and disseminating information d. Evaluating the social, economic, and environmental characteristics of the population e. Questioning the availability of health services to the community How can a community be best defined? a. A population of people who live together b. A geographic location within a community c. A collection of individuals who share at least one common characteristic d. Everyone who lives within the city limits c. A collection of individuals who share at least one common characteristic Which of these statements is true when describing population- focused nursing practice? a. Assessment includes a comprehensive look at the health status of the community. b. Nursing care is limited to primary prevention measures. c. Care is focused on the highest risk populations. d. Care is provided for individuals and families at work, home, and school. a. Assessment includes a comprehensive look at the health status of the community.
Community health nurses promote, preserve, and maintain the health of the population through which of the following? a. The delivery of care to individuals, families, and groups b. The delivery of care to the community as a whole c. The use of public health nurses in the schools d. The identification of clients in the community a. The delivery of care to individuals, families, and groups What is the focus of public health nursing? a. The delivery of personal health care services to individuals and groups b. The community as a whole and the effect of the community's health on the health of individuals, families, and groups c. Protecting the health of individuals through primary prevention strategies d. The identification of clients in the community b. The community as a whole and the effect of the community's health on the health of individuals, families, and groups Which of these statements about Healthy People 2020 is true? a. It is a new law that promotes the development of healthy environments. b. It is a comprehensive set of disease prevention and health promotion objectives for the nation.
c. It identifies a wide range of public health priorities and the regulations to determine funding. d. It is used to determine the health status of communities. b. It is a comprehensive set of disease prevention and health promotion objectives for the nation. Which of these statements about leading health indicators is true? a. They were selected on the basis of their ability to motivate people into action. b. They were identified because it was so hard to determine if people were healthy. c. They provide data to measure illnesses in public health arenas. d. They address the top five public health issues. a. They were selected on the basis of their ability to motivate people into action. Which of the following community actions does not support the CDC's Designing and Building Healthy Places? a. Walking and bicycle trails to encourage increased physical activity b. Park benches for older adults to take rest breaks when walking c. School complexes located outside the city limits to avoid traffic during school hours
screening for cognitive and psychomotor development of individual children would most likely be considered community- oriented nursing care when: a. individual results are compared with established standards for children of the same age group. b. program characteristics are assessed for their effectiveness in making the school population healthier. c. referral is provided for a child identified with delayed psychomotor development. d. treatment is initiated for a child with an identified learning disability. a. individual results are compared with established standards for children of the same age group. Public health nursing is a specialty with a distinct focus and scope of practice and requires a special knowledge base different from other specialty areas of nursing. A public health nurse would first be interested in: a. drug treatments for diabetes. b. populations with the highest rate of diabetes. c. educational materials for individuals with diabetes. d. new technology for diabetic care. b. populations with the highest rate of diabetes.
A state 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. a. assurance. 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. a. community-oriented care. In a community clinic that screens and treats individuals for cardiovascular disorders, the nurse practicing public health/population-focused nursing would most likely ascertain: a. a holistic treatment plan.
The major levels of community practice can best be determined by a. area of nursing practice specialization. b. illness care vs disease prevention and health promotion. c. site of practice or institution of employment. d. staff generalist level or specialist level practice. b. illness care vs disease prevention and health promotion One of the major barriers to the development of population- focused nursing practice is a. lack of adequate funds for training. b. limited leadership opportunities. c. nurses direct care role d. workforce stagnation c. nurses direct care role When addressing issues concerning the lack of health care and related services for the local homeless populations, the public health nurse is preforming the core function of a. assessment b. assurance. c. policy development. d. program planning. c. policy development.
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 a. community-oriented care 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. b. expansion of the role of nursing to include health promotion practices. The most important aspect of the nursing community assessment phase can best be described as: a. analyzing and synthesizing data b. collecting and gathering data
d. point-of-care technology In today's health care reform discussions, the central issue that relates most directly to community-oriented nursing practice would be a. access to comprehensive health promotion services. b. educational preparation of public health nurses. c. reimbursement rates for primary care services. d. universal health care coverage. a. access to comprehensive health promotion services. The public health challenges for the future will most likely include the goal of cost-effective alternatives that address the need for a. balancing the delivery of services across various sites. b. expanding the scope of private practice c. regulatory responsibility d. meeting the needs of a diverse population d. meeting the needs of a diverse population The most important focus of community-oriented nursing practice is a. head start programs b. immunization programs
c. maternal-child health programs. d. programs for disadvantaged and vulnerable populations d. programs for disadvantaged and vulnerable populations What was the initial impact of African American nurses working in the public health setting? Select all that apply. a. African American nurses in the South were paid less than their white counterparts. b. African American nurses held supervisory roles. c. Public health nursing certificate and graduate education programs were segregated in the South. d. Nursing education for Southern nurses was provided through free educational grants. e. Study outside the South for Southern nurses was difficult to afford and study leaves from the workplace were rarely granted. a. African American nurses in the South were paid less than their white counterparts. c. Public health nursing certificate and graduate education programs were segregated in the South. e. Study outside the South for Southern nurses was difficult to afford and study leaves from the workplace were rarely granted. In the United States, the current system of the local government's responsibility for providing care for the disenfranchised emerged from:
Which of the following statements accurately reflects the current status of nursing in community health? a. Each type of nurse is needed in today's communities. b. Community health serves only clients with chronic conditions. c. Comprehensive reform of health care is required. d. People no longer believe they can protect themselves. a. Each type of nurse is needed in today's communities. In 1902 Lillian Wald introduced the concept of school nursing to address the problem of student absenteeism by: 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 absent students. c. providing and obtaining medical treatment for absent students. Mary Breckinridge established the Frontier Nursing Service (FNS) in 1925. One of Breckinridge's primary contributions to health care in the United States was: a. the Federal Emergency Relief Administration (FERA). b. introduction of the first nurse-midwives. c. the nursing process. d. occupational health nursing.
b. introduction of the first nurse-midwives. Which of the following factors assisted such community- oriented nursing pioneers as Lillian Wald to develop approaches and programs to solve the health care and social problems of the late 1800s? Select all that apply. a. Community health's focus on teaching and prevention b. Establishment of settlement houses c. Establishment of the Town and Country Nursing Services in large cities d. Lack of public interest in limiting disease e. Middle and upper-class fear of diseases a. Community health's focus on teaching and prevention b. Establishment of settlement houses e. Middle and upper-class fear of diseases Congress-supported categorical funding has produced what negative effect on the delivery of health care services? a. Beginning of 2-year associate's degree programs in nursing b. A reduction in comprehensive community health programs c. End of insurance company support for visiting nurses d. Rise in hospital-based care b. A reduction in comprehensive community health programs
b. implementation phase. c. needs assessment. d. problem analysis. a. evaluation phase. The nurse in community health identifies an elder abuse problem related to caregiver stress among families. The nurse further identifies a lack of caregiver support services in the local community. The next step in the community-oriented nursing process would be to: a. analyze the community problem. b. establish priorities. c. establish goals and objectives. d. identify intervention activities. a. analyze the community problem. Two nurses in community health schedule a day to ride through a low-income community to better understand the community and what factors affect the health of that community. This direct data collection method is often referred to as: a. composite database. b. participant observation. c. secondary analysis. d. windshield survey. d. windshield survey.
Which of the following best support the concept of community- oriented nursing practice? Select all that apply. a. Direct nursing care of individuals with tuberculosis (TB) b. Hospice home care for a terminally ill individual and family c. Nursing interventions to stop elder abuse d. Nutrition education programs for teenagers and their families e. Wound care for a homebound individual a. Direct nursing care of individuals with tuberculosis (TB) c. Nursing interventions to stop elder abuse d. Nutrition education programs for teenagers and their families A Hispanic outreach program works with the nurse in community health to train Hispanic health care workers in providing basic services and education within the local Hispanic community. The concept basic to community-oriented nursing practice that is best described by this intervention is: a. community. b. community client. c. community health. d. community partnerships. d. community partnerships. While conducting a community health assessment, a nurse in community health meets with local religious leaders to
