NSG PN 223_ Community Health exam 1 | Herzing University | 100% GUARANTEED PASS.

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1. One of the primary focuses of improving the health of the American people in the twenty-first century is to address: a. bioterrorism and global health threats. b. delivery of individual care and ... hygiene. c. the need for increased hospital and acute care. d. chronic disease and disability management. ANS: A 2 .A community is concerned about the threat of bioterrorism. Which of the following best describes the basis for this concern? a. Bioterrorism has the potential to dissolve community-based programs. b. This threat could cause the health care system to collapse. c. The threat of bioterrorism may divert funds from other public safety health care programs. d. Fear of bioterrorism will increase the need for shelters. ANS: C 3. Which of the following describes the consequence of the successful implementation of the Affordable Care Act? a. Americans will pay closer attention to their health status. b. The majority of the population will be covered by insurance. c. Public health departments will need to increase the number of nursing positions. d. The prevalence of obesity will decrease. ANS: B 4. The public health nurse (PHN) must participate in the essential services of public health. Which of the following most accurately describes one of the essential services of public health? a. Monitoring health status by completing a community assessment b. Diagnosing and investigating health problems in the world c. Informing, educating, and empowering people about health issues d. Working in law enforcement to regulate health and ensure safety ANS: C 5. A public health department is using the mission of public health as described by the Institute of Medicine when planning its health programming. Which of the following activities will most likely be implemented? a. Tracking avian flu outbreaks and doing surveillance in the United States b. Providing a flu shot for an elderly person at the health department c. Keeping track of alternative therapies in use in the United States d. Keeping snake antivenom at the Centers for Disease Control and Prevention in Atlanta ANS: A 6. A public health department makes sure that the essential community-oriented health services are available in the community. Which of the following core public health functions is being implemented? a. Policy development b. Assessment c. Assurance d. Scientific knowledge-based care ANS: C 8. Which of the following statements about public health is accurate? a. Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches. b. Expenditures and resources for public health have increased in recent years. c. Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior. d. Reform of the medical insurance system is the single change needed to improve the health of Americans. ANS: C 9. A PHN collects data and monitors the health status of the population. Which of the following core public health functions is being implemented? a. Assessment b. Prevention c. Assurance d. Policy development ANS: A Assessment consists of systematic data collection and monitoring health status. 10. The PHN compares the rate of teenage pregnancy in various areas of the city. Which of the core functions of public health is being implemented? a. Assurance b. Assessment c. Prevention d. Policy development ANS: B 12.A nurse provides for the availability of essential personal health services for people who would otherwise not receive health care. Which of the public health core functions is being used? a. Assessment b. Prevention c. Assurance d. Policy development ANS: C Assurance deals with the availability of health services. Prevention is not a core function, 14.A nurse performs activities to meet the primary goals of public health. Which of the following is the nurse most likely to complete? a. Ensuring that a newly diagnosed 40-year-old hypertensive man takes his medication b. Finding home care for a 70-year-old client recuperating from a hip replacement c. Conducting an infant car seat safety check d. Contacting a local hospice to admit a terminally ill 60-year-old woman ANS: C 16. The PHN analyzes data related to the number and type of United States Environmental Protection Agency air quality standards that a community failed to meet. This data is an example of using which community health profile indicator? a. Sociodemographic characteristics b. Health status c. Health risk factor d. Functional status ANS: C Health risk factors discuss proportions of populations who have particular health conditions or health risks 21. The necessary basic preparation for public health nursing is a(n) in nursing. a. associate’s degree b. baccalaureate degree c. master’s degree d. Doctor of Nursing Practice degree ANS: B 23.A PHN provides a clinic for HIV-positive citizens in the community. Which of the following best describe this activity? a. Primary prevention b. Health education c. Tertiary prevention d. Policy making ANS: C 24.A nurse is working in the community with an aggregate/population. Who is the nurse most likely to interact with? a. Students in a county school system b. Christians around the world c. A patient in the intensive care unit at the local hospital d. People who drink coffee ANS: A 25.A population is best defined as a: a. high-risk group. b. those interacting within a school or institutional setting. c. collection of individuals who share at least one common characteristic. d. geographical location within a community. ANS: C A population or aggregate is a collection of individuals who have one or more personal or 26. Population-focused practice focuses on defining the problems or needs of and implementing solutions for: a. individuals. b. aggregates. c. communities. d. geographical regions. ANS: B Aggregates are a defined population made up of individuals in communities of a specific 33.A public health staff nurse has a clear understanding of population-focused practice. Which of the following characteristics would the nurse most likely display? a. Volunteering for a local community action coalition b. Able to perform interventions with individuals in the community c. Able to improve the effectiveness of care provided d. Considered a PHN specialist ANS: C Public health staff nurses who have a clear understanding 34. PHNs are looking to improve population-focused care in the community. Which of the following best describes a key opportunity for the nurses to accomplish this goal? a. Assuming traditional nursing roles b. Influencing public health policy c. Conducting community assessments d. Specializing in community-based nursing practice ANS: B .Which of the following are considered barriers to public health nursing? (Select all that apply.) a. The mindset that the only role for the nurse is at the bedside b. The structures within which nurses work and the process of role socialization within those structures c. Few nurses receive graduate-level preparation in the concepts and strategies of the disciplines basic to public health d. The steady decline in the number of job opportunities in the area e. The inability to equally distribute the increasing funds ANS: A, B, C 3. Current threats to health in the United States that community health nurses are faced include: a. diphtheria, cholera, and hepatitis. b. HIV, H1N1 influenza, and bioterrorism. c. avian flu, tuberculosis (TB), and radiation. d. polluted water and air. ANS: B 7. Florence Nightingale’s contributions to public health included: a. caring for the sick, poor, and neglected in institutions and at home. b. using a population-based approach that led to improved environmental conditions. c. writing the Elizabethan Poor Law to guarantee medical care for all. d. founding of the district nursing association to provide health care to needy people. ANS: B During the Crimean War, Nightingale progressively improved the soldiers’ health by adopting a population-based approach that used simple epidemiological measures and greatly decreased mortality. Lillian Wald’s major contribution to public health nursing was: a. founding the American Nurses Association. b. developing the New York Training Hospital for Nurses. c. creating the Public Health Service. d. establishing the Henry Street Settlement. ANS: D Lillian Wald established the Henry Street Settlement. Isabel Hampton Robb founded the American Nurses Association. 9.A nurse is providing public health education based on the teachings of Lillian Wald. Which of the following topics will the nurse most likely discuss? a. Taking and recording blood pressures accurately b. Safe and sanitary baby and child care c. Environmental pollutants and their effects on lung disease d. Time management: balancing factory work and the home ANS: B Lillian Wald provided health care that included educating the community on health care matters. 10. Nurses who provided care to people in their homes and provided that care to several people at a time were called nurses. a. private duty b. visiting c. public health d. community health ANS: B The visiting nurse cared for several families in a day and helped make care of the sick poor at home economical, 12.A nurse worked in a school setting during the early twentieth century. Which of the following would have been the focus of this nurse’s practice? a. Investigating causes of absenteeism b. Teaching school as well as being a nurse c. Promoting nursing as an autonomous practice d. Providing medical treatment to enable children to return to school ANS: A Early school nursing focused on investigating causes of absenteeism, not providing medical treatment. 14. The document Visiting Nursing in the United States highlighted the fact that: a. nurses were trained by Boards of Education. b. trained nurses adequately covered less-densely populated areas. c. visiting nurse services were concentrated in the northeastern United States. d. nurses were curing diseases such as TB and typhoid fever. ANS: C This report emphasized the fact that visiting nurse services were concentrated in the northeast, 25.A PHN is compiling information about how to promote early detection of breast cancer in women. Which document would most likely provide useful information about this topic? a. The Future of Public Health b. Healthy People 2020 c. Patient Protection and Affordable Care Act d. Scope and Standards of Public Health Nursing Practice ANS: B The Healthy People documents propose national strategies to improve significantly the health of American 27.A 66-year-old woman is retired and no longer has health insurance through her place of employment. Which of the following programs would be appropriate for her health insurance needs? a. Medicare b. Medicaid c. Social Security d. Economic Opportunity Act ANS: A The Social Security Act was amended to include health insurance benefits for the elderly, which is addressed through Medicare 28.A PHN became involved in health care reform. Which of the following best describes the purpose of this action? a. Promote the nursing profession b. Increase funding for public health nursing c. Address the concerns of nurses d. Improve health care access and reduce health care costs ANS: D PHNs have been involved in 3.A nurse is working with a community to decrease the occurrence of influenza. Which of the following U.S. Department of Health and Human Services (USDHHS; or simply HHS) goals is being applied? a. Strengthen Health Care b. Advance the Health, Safety, and Well-being of the American People c. Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS Programs d. Advance Scientific Knowledge and Innovation ANS: B One of the objectives of Advance the Health, Safety, and Well-being of the American 8.A community health nurse is utilizing telehealth. Which of the following best describes the rationale for its use? a. Enables clients to get nursing care in their homes b. Substitutes for health department delivered care c. Improves access to care in rural areas d. Replaces face-to-face care for those who cannot afford it ANS: C 9. One of the goals of the World Health Organization (WHO) is to: a. provide PHC services to everyone. b. prevent outbreaks of disease. c. prevent the transmittal of communicable disease among nations of the world. d. provide humanitarian support in times of disaster. ANS: A The WHO adopted a resolution in 1977 accepting the goal of attaining a level of health 10.A public health agency is considering implementing an electronic health record. Which of the following best describes one of the benefits the agency will experience? a. Facilitation of interprofessional care b. Improved client compliance with medical regimens c. Cost savings to the agency d. Compliance with the Joint Commission of Accreditation of Healthcare Organizations (JCAHO) standards ANS: A The electronic medical record facilitates interprofessional care in chronic disease management and coordination of referrals; 24. Which of the following best describes one of the health trends that occurred in the United States between 1900 and 1955? a. There was a rise in chronic diseases such as heart disease and cancer. b. There was a rise in communicable disease. c. The crude mortality rate increased dramatically. d. The life span after diagnosis remained the same. ANS: A 14. What initiative began as a result of a resolution adopted by the WHO in 1977? a. Declaration of Alma Ata b. Medicare c. Healthy People d. PHC movement ANS: D The WHO adopted a resolution accepting the goal of attaining a level of health that permitted all citizens of the world to live socially and economically productive lives 16.A community health nurse reviews Healthy People 2020 when considering the health needs that will be addressed in the community. Which goal would the nurse find in this document? a. Promote healthy behaviors for children b. Cure cancer c. Eliminate health disparities d. Provide primary care to all citizens ANS: C Elimination of preventable disease, disability, injury, premature death; achievement of health equity; elimination of health disparities; and creation of social and physical 20. The federal agency of the public health system that is most involved with the health and welfare of United States citizens is the: a. Centers for Medicaid and Medicare Services. b. U. S. Department of Health and Human Services. c. U. S. Public Health Service (USPHS; or simply PHS). d. Health Resources and Services Administration. ANS: B The U. S. Department of Health and Human Services is charged with regulating health care and overseeing the health status of Americans 23.A nurse is employed by the Department of Homeland Security. Which of the following actions would be expected by this department? a. Prevention and protection against terrorist attacks b. Regulation of licensure of medical personnel c. Inspection of the safety of food and cosmetics d. Regulation of managed care organizations ANS: A The Department of Homeland Security was created after the terrorist attacks of September 11, 2001. 4.A nurse discusses services with a federal congressman. Which of the following services would the nurse most likely be discussing? a. Family planning b. Counseling c. Policy making d. Prevention of communicable diseases ANS: C Policy making is offered at the federal level. Family planning, counseling, and preventing communicable and infectious disease are offered at the state and local levels. 5.A business offers wellness incentives to its employees and then notices a decrease in the frequency of physician visits among employees. Which of the following terms best describes what has happened? a. Macroeconomic theory b. Efficiency c. Supply and demand d. Microeconomic theory ANS: D Microeconomic theory is examining the behaviors of individuals and organizations that result from trade-offs in utility and budget constraints of health care 7.A nurse is faced with a macroeconomics issue. Which of the following best describes what is happening? a. The evaluation of client access to services b. A health policy that makes the development of a new program possible c. Informing clients and others of the cost of service d. The referral of clients to available services ANS: B Macroeconomics focuses on the “big picture,” such as a program, whereas microeconomics focuses on the individual or organization. 14.A nurse is working with members of the community to assist them with acquiring health insurance. Which of the following individuals is most likely to be uninsured? a. An 82-year-old woman with chronic medical problems b. A 2-year-old whose mother is on welfare c. A 50-year-old businessman who works for a large corporation d. A 32-year-old man who works part-time at a small business ANS: D The typical uninsured person is one who works at a low-paying job, part-time or temporary, or at a small business. 15.A nurse is examining the characteristics that affect one’s health. Which of the following would be of greatest concern to the nurse? a. Obesity b. Marital status c. Health insurance d. Age ANS: A 16.A community health nurse is assisting clients to access health care. Which of the following individuals would most likely experience a barrier when accessing health care? a. A 40-year-old female who speaks English b. A 25-year-old female with health insurance c. A 50-year-old male with hypertension d. A 30-year-old male who is unemployed ANS: D Barriers to accessing care include the inability to afford health care, lack of transportation, physical barriers, communication problems, child care needs, lack of time or information, or refusal of services by providers 22. Which statement about the Medicare program is accurate? a. Part A provides coverage for hospitalization. b. Part A requires payment of a monthly premium for coverage. c. Part B provides payment for home health services and extended care facilities. d. Part B is available without cost to all elderly people who have paid social security taxes. ANS: A Medicare Part A covers hospital care, home care, and skilled nursing care. 23. Medicare and Medicaid are: a. available to any citizen who wishes to enroll. b. two federal programs that provide insurance to special groups. c. private insurance providers. d. funded by the state government. ANS: B Medicare provides insurance for persons over 65, and Medicaid provides financial assistance to states and counties to pay for medical services for the aged poor, the blind, the disabled, and families with dependent children who are below state poverty income levels. Medicare is financed by the federal government. Medicaid is jointly financed by state and federal government. They are not private insurance providers by definition .Which statement regarding Florence Nightingale’s ideas about ethics is correct? a. Nursing is a call to service, and the moral character of persons entering nursing is important. b. Ethical principles are based on the values of the individual nurse. c. Society will dictate the ethical principles to which nurses must adhere. d. Ethics are very important in times of war, such as in the Crimean War, when she set up public health centers. ANS: A Florence Nightingale saw nursing as a call to service and viewed the moral character of persons entering nursing as important. Florence Nightingale did not set up public health centers. 2.A nurse is applying the knowledge and processes of ethics to the examination of ethical problems in health care. Which of the following describes the actions of the nurse? a. Values b. Morality c. Ethics d. Bioethics ANS: D 9. Which ethical principle requires “doing no harm?” a. Respect for autonomy b. Non-maleficence c. Beneficence d. Distributive justice ANS: B 10.A nurse is applying the ethical principle of non-maleficence. Which of the following describes the action that the nurse is taking? a. Administering medications using the “five rights” b. Allowing clients to be active participants in their care c. Providing patient privacy when delivering care d. Referring a client to a physical therapist ANS: A 12.A nurse believes everyone is entitled to equal rights and equal treatment in society. Which of the following principles is being applied? a. Distributive or social justice b. Egalitarianism c. Libertarian view of justice d. Communitarianism ANS: B Egalitarianism is defined as the view that everyone is entitled to equal rights and equal treatment in society. 16. Which statement about feminist ethics is correct? a. Feminists include only women in their worldview. b. Persons who ascribe to feminist ethics are passive and wish to pursue their ideals through the legislative process. c. Feminists believe that men should not be nurses. d. Women’s thinking and moral experiences are important and should be taken into account. ANS: D Feminist theory ascribes to the idea that women’s thinking and moral experiences are important and should be considered. A feminist 22.A nurse is demonstrating advocacy in his nursing practice. Which of the following actions best demonstrates this principle? a. Offering a smoking cessation program b. Screening for hypertension c. Lobbying for health care reform d. Conducting home visits ANS: C Nurses should participate in implementing new directions for health care and help envision these new directions. 23. The community leaders in a lesser-developed country decide not to tell the citizens of a small village about a chemical spill at a major industrial facility that could produce harmful effects. Which of the following principles is being violated? a. Morality b. Advocacy c. Caring d. Virtue ANS: B 2.A community health nurse is applying the Ethical Principles for Effective Advocacy. Which of the following best describes the action(s) of the nurse? (Select all that apply.) a. Act in the health care provider’s best interest b. Keep the client (group, community) properly informed c. Maintain client confidentiality d. Carry out instructions with diligence and competence e. Provide advice to all members of the community ANS: A, B, C, D 1. What are the critical attributes in the definition of community? a. Families, groups, and health organizations b. Health needs, geographical boundaries, and target population c. People, place, and functions d. Populations and health resources ANS: C 4.A collection of individuals who have one or more personal or environmental characteristics in common is the definition of a(n): a. community. b. group. c. family. d. aggregate. ANS: D 22.A nurse gathers information about the condition of homes, size of lots, neighborhood hangouts, road conditions, and modes of transportation. Which method of data collection is being used? a. Participant observation b. Windshield survey c. Focus group d. Informant interviews ANS: B Windshield surveys are a method of simple observation, providing a quick overview of a community 3.A nurse discusses with legislators the importance of passing legislation to ban smoking in all public places. Which of the following is the nurse becoming involved in? a. Policy b. Politics c. Law d. Health policy ANS: A Politics is the art of influencing others to accept a specific course of action 10.A nurse is working for the federal government to provide for the protection of the public’s health. Which of the following actions would the nurse most likely complete? a. Interpreting decisions related to women’s right to privacy b. Setting up immunization clinics for smallpox vaccine c. Regulating nursing at the state level d. Monitoring the influx of disease at the borders ANS: D 13.A nurse researcher wants to get information on the occurrence of an internationally important disease. Which of the following websites would be the best place to seek this information? a. The United Nations b. The WHO c. The World Bank d. The World Health Assembly ANS: B 15. The agency most heavily involved with the health and welfare concerns of United States citizens is the: a. USDHHS. b. PHS. c. Health Resources and Services Administration. d. WHO. ANS: A 7. The purpose of public health core functions is to: a. clarify the role of the government in fulfilling the mission of public health. b. ensure the safety of populations in receiving quality health care. c. provide community-based individualized care to every person in the United States. d. unite public and private providers of care in a comprehensive approach to providing health care. 23.A PHN provides a clinic for HIV-positive citizens in the community. Which of the following best describe this activity? a. Primary prevention b. Health education c. Tertiary prevention d. Policy making ANS: C 27.A nurse is using a population focus when providing public health nursing care. Which of the following statements best describes the care that is being provided? a. Priority is given to the highest risk population. b. Direct caregiving is limited to preventive measures, such as administration of immunizations. c. Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care system. d. Only populations outside institutional settings are considered. ANS: C 3.Current threats to health in the United States that community health nurses are faced include: a. diphtheria, cholera, and hepatitis. b. HIV, H1N1 influenza, and bioterrorism. c. avian flu, tuberculosis (TB), and radiation. d. polluted water and air. ANS: B 12.A nurse worked in a school setting during the early twentieth century. Which of the following would have been the focus of this nurse’s practice? a. Investigating causes of absenteeism b. Teaching school as well as being a nurse c. Promoting nursing as an autonomous practice d. Providing medical treatment to enable children to return to school ANS: A 25.A PHN is compiling information about how to promote early detection of breast cancer in women. Which document would most likely provide useful information about this topic? a. The Future of Public Health b. Healthy People 2020 c. Patient Protection and Affordable Care Act d. Scope and Standards of Public Health Nursing Practice ANS: B The Healthy People One of the goals of the World Health Organization (WHO) is to: a. provide PHC services to everyone. b. prevent outbreaks of disease. c. prevent the transmittal of communicable disease among nations of the world. d. provide humanitarian support in times of disaster. ANS: A .What are some of the untoward events categorized in the Institute of Medicine (IOM) report about medical errors? (Select all that apply.) a. Wrong-site surgery b. Adverse drug events c. Improper transfusions d. Restraint related deaths e. Poor staffing patterns ANS: A, B, C, D 17.A nurse plans to implement a primary prevention strategy in the community. Which of the following would the nurse most likely complete? a. Development of a smoking prevention program b. Development of a support group for widows c. Development of a hypertension screening program d. Development of a hospice care program ANS: A 19.A nurse believes that all Americans should receive basic health care services. Which of the following core functions supports this belief? a. Assessment b. Assurance c. Policy development d. Advocacy ANS: B 1. Which of the following are ethical tenets that underlie the core function of assessment? (Select all that apply.) a. Competency: the persons assigned to develop community knowledge are prepared to collect data on groups and populations b. Moral character: the persons selected to develop, assess, and disseminate community knowledge possess integrity c. Service to others over self: a necessary condition of what is “good” or “right” policy d. “Do no harm”: disseminating appropriate information about groups and populations is morally necessary and sufficient e. Providers of public health services should be competent and available ANS: A, B, D 1. A community health nurse reviews Healthy People 2020 when considering the health needs that will be addressed in the community. Which goal would the nurse find in this document? A. Promote healthy behaviors for children. B. Cure cancer. C. Eliminate health disparities. D . Provide primary care to all citizens 2. If a 25-year-old woman visits a community health center to obtain a gynecological examination and birth control pills, these activities are termed care. A. Tertiary health B. Primary health C. Public health D. Specialized care 3. When the nurse implements nursing interventions considering the uniqueness of the person’s culture. The practice is called cultural: • Competence 4. Which program would typically be found in a state health department? A. Senior health B. Dental services C. HIV/AIDS service D. Mental health 5. A public health staff nurse who has a clear understanding of population-focused practice: A. Is able to improve the effectiveness of care provided B. Is frustrated providing care to individuals C. Would rather perform population-focused interventions D. Is considered a public health nurse specialist 6. Quaternary care requires highly specialized skills, technology, and support services, usually an academic medical center; one hospital may provide the majority of such services within a geographic area. A. True B. False 7. Center for Disease Control (CDC) serve as the national focus for developing and applying disease prevention and control, environmental health, and health promotion and education activities designed to improve the health of the people of the United States. A. True B. False 8. Public health nurses who develop and implement local public health policies through partnerships with agencies, organizations, and consumers within the community are using which core public health function? A. Prevention B. Assessment C. Policy development D. Assurance 9. Which is an example of an aggregate or population? A. Christians around the world B. Students in a county school system C. A patient in the intensive care unit at the local hospital D. People who play cards together once a week at private homes 10. The number and proportion of persons aged 25 or older with less than a high school education is an example of A. Sociodemographic characteristics B. Health status C. Health risk factors D. Health care resource consumption 11. Which statement about community health nursing practice is correct? A. It focuses on the delivery of personal health services to individuals and families. B. It requires a baccalaureate preparation for practice. C. It provides care to protect the health of the community as a whole. D. It emphasizes the setting where care is provided for clients and families 12. Secondary care is provided by a specialist health care provider usually after referral from a primary care provider A. True B. False 13. One of the primary focuses of improving the health of the American people in the twenty-first century is to address: A. Delivery of individual care and hygiene B. Chronic disease and disability management C. The need for increased hospital and acute care D. Bioterrorism and global health threats 14. Residents of rural communities report that they must travel for long distances to obtain health care services. As a result, they seek health care only for emergencies and severe illnesses. Which aspect of the health care system in the United States is illustrated in this situation? A. Cost B. Access to care C. Quality D. Advances in technology 15. Epidemiology, Environmental and Occupational Health,Consumer, Environmental and Occupational Health Services, Health Infrastructure Preparedness and Emergency Response are programs at the State Health Department A. True B. False. 16. Primary care requires highly specialized skills, technology, and support services, usually an academic medical center; one hospital may provide the majority of such services within a geographic area A. True B. False • Correct answer: Quaternary care 17. Population-focused practice focuses on defining the problems or needs of and implementing solutions for: A. Communities B. Individuals C. Geographical regions D. Aggregates 18. An example of a public health law instituted to protect the health of the community is: A. Requiring all persons to have health insurance coverage B. Monitoring and licensing nuclear power plants C. Administering flu shots in the late fall and early winter D. Mandating immunizations for all children entering kindergarten 19. Flu Clinics, Blood Pressure Screening and Cholesterol Screening are offered at the State Health Department A. True B. False 20. Making sure that essential community-oriented health services are available defines which of the core public health functions? A. Policy development B. Assurance C. Scientific knowledge-based care D. Evaluation 21. Nurses who strive to be culturally competent should: A. Respect individuals from different cultures and value diversity. B. Immerse themselves in different cultures. C. Design care for special ethnic groups. D. Give explicit instructions to avoid client decision making. 22. The public health nurse must participate in the essential services of public health. These include: A. Monitoring health status by completing a community assessment B. Working in law enforcement to regulate health and ensure safety C. Informing, educating, and empowering people about health issues D. Diagnosing and investigating health problems in the world 23. Which individual would most likely experience a barrier when accessing health care? A. A 25-year-old female with health insurance B. A 40-year-old female who speaks English C. A 50-year-old male with hypertension D. A 30-year-old male who is unemployed 24. Residents of rural communities report that they must travel for long distances to obtain health care services. As a result, they seek health care only for emergencies and severe illnesses. Which aspect of the health care system in the United States is illustrated in this situation? A. Access to care B. Cost C. Quality D. Advances in technology 25. Which individual would most likely receive Medicaid services? A. A 70-year-old male who is hearing impaired B. An 85-year-old female who has hypertension C. 25-year-old female who is pregnant D. A 50-year-old male who is blind 26. What level of prevention when public health nurse provides a diabetes clinic for a defined population of adults in a low-income housing unit of the community? • Tertiary Prevention 27. A nurse discusses with legislators the importance of passing legislation to ban smoking in all public places. This demonstrates the nurse’s involvement in: A. Politics B. Policy C. Law D. Health policy 28. What level of prevention when the public health nurse provides toxin screenings for migrant workers who may be exposed to pesticides. Secondary Prevention Which is an example of "community health nursing" rather than "community-based nursing"? a. An RN assisting a doctor in a pediatrician's office b. An RN visiting a home-bound patient to monitor for congestive heart failure c. An RN reviewing school clinic records to determine which children are not up to date on their immunizations d. An RN dispensing medications in a nursing home c. An RN reviewing school clinic records to determine which children are not up to date on their immunizations ) The major goal of the community health nurse is to provide: . A) Primary health care B) Health promotion and disease prevention C) Health education and teaching services D) Knowledge, skill and methods of public health service Health promotion and disease prevention The steps in the community assessment process for community health nurses are: (Select all that apply.) a. writing a community diagnosis. b. evaluating the outcomes. c. collecting assessment data. d. identifying the cause of the problem. e. planning community intervention ans a. writing a community diagnosis. b. evaluating the outcomes. c. collecting assessment data. e. planning community intervention The nurse who compares the rate of teenage pregnancy in various areas of the city is practicing the public health core function of: a. Assurance b. Assessment c. Prevention d. Policy development b. Assessment The nurse manager who makes sure that the staff members who work in a local clinic are competent is demonstrating the public health core function of: a. Assurance b. Assessment c. Prevention d. Policy development a. Assurance A nurse is conducting vision screenings on children in the school setting. Which type of nursing practice is the nurse performing? a.) Community-oriented b.) Public health c.) Community health d.) Community-based The nurse is investigating environmental health problems caused by contaminated ground water. Which of the following types of nursing practice is being used? a.) Community-oriented b.) Community-based c.) Policy development d.) Tertiary care A public health department makes sure that the essential community-oriented health services are available in the community. Which of the following core public health functions is being implemented? a.) Policy development b.) Assessment c.) Assurance d.) Scientific knowledge-based care c.) 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